NPI 1053192492
Colin James Keisling, COTAL
Practice location
- Address
- 210 Town Center Dr, Troy, MI 48084-1774
- Phone
- (248) 205-7241
- Mailing address
- 2191 Goulson Ave, Warren, MI 48091-2164
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1053192492
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 11 Oct 2023
- Record last updated
- 11 Oct 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.