Individual
CLINT M NORTHROP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
3500 COOLIDGE RD, EAST LANSING, MI 48823-6376
(517) 203-4042
Mailing address
5148 WOODSTOCK DR, SWARTZ CREEK, MI 48473-8543
(810) 837-1602
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202008386
MI
Other
Enumeration date
11/07/2018
Last updated
11/07/2018
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