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Individual

GAIL ANN SHAFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD, OTR, CHT

Contact information

Practice address
4052 LEGACY PKWY STE 100, LANSING, MI 48911-4285
(517) 394-0775
Mailing address
2111 MERRITT RD, EAST LANSING, MI 48823-6916
(517) 322-3232

Taxonomy

Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
5201000081
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5201000081
STATE LICENSE
MI
Enumeration date
05/02/2014
Last updated
01/03/2019
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