Mallery, Kathleen Durgan
Mallery, Kathleen Durgan is an sole proprietor health care provider with primary practice located at 468 Cadieux Rd , Grosse Pointe MI 48230-1507. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Mallery, Kathleen Durgan can be contacted via phone (313) 473-1632.Contact Information
Primary practice address
468 Cadieux Rd
Grosse Pointe MI 48230-1507
Phone: (313) 473-1632
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 5201001667 | Michigan |
Profile Details
| NPI number | 1245731991 |
|---|---|
| LBN Legal business name | Mallery, Kathleen Durgan |
| Credentials | OTL |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 27th, 2018 |
| Last updated | Feb 27th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245731991 | NPPES |
| Michigan | MEDICAID | 5201001667 |
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