Individual
LARA MORFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19401 NORTHLINE RD, SOUTHGATE, MI 48195-2277
(734) 785-7718
Mailing address
1737 3RD ST, WYANDOTTE, MI 48192-7201
(734) 512-9685
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
08/11/2010
Last updated
11/18/2016
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