Individual
MRS. ELIZABETH TRUEBLOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5664 TETON TRL, WHITE LAKE, MI 48383-4017
(248) 904-7675
Mailing address
5664 TETON TRL, WHITE LAKE, MI 48383-4017
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5202207562
MI
Other
Enumeration date
10/12/2020
Last updated
10/12/2020
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