Individual
JENNIFER LARUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
138 W HIGHLAND RD # RS, SUITE 500-600, HOWELL, MI 48843-2168
(517) 376-4831
(517) 376-4833
Mailing address
138 W HIGHLAND RD # RS, SUITE 500-600, HOWELL, MI 48843-2168
(517) 376-4831
(517) 376-4833
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5201006346
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5201006346
OCCUPATIONAL THERAPIST LICENSE
MI
Enumeration date
07/13/2010
Last updated
01/31/2017
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