Keith William Gries
Occupational Therapist in Lansing, MI. Individual provider (NPI-1).
NPI number1669973368
StatusActive
Last updated in NPPESFeb 27, 2018
Details
- NPI
- 1669973368
- Entity type
- Individual (NPI-1)
- Name
- Keith William Gries
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 27, 2018
- Last updated
- Feb 27, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 5201003560 | MI | Yes |
Practice location
1215 E Michigan AveLansing, MI 48912-1811
Phone 517-364-2786
Mailing address
1215 E Michigan AveLansing, MI 48912-1811
Phone 517-364-2786
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