Individual
LANI JAKOVAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
13500 PINE ST, TAYLOR, MI 48180-4613
(734) 946-6616
Mailing address
31893 TOVENIA DR, ROCKWOOD, MI 48173-8756
(313) 917-8396
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5201000132
MI
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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