Individual
LORRAINE BERTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 EARHART RD, ANN ARBOR, MI 48105-2768
(734) 929-6883
Mailing address
9050 RIVERSIDE DR, BRIGHTON, MI 48116-8238
(810) 231-6604
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201001202
MI
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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