Individual
LAUREN MARIE STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT,OTR/L
Contact information
Practice address
34225 GRAND RIVER AVE, FARMINGTON, MI 48335-3440
(248) 477-7373
Mailing address
34225 GRAND RIVER AVE, FARMINGTON, MI 48335-3440
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201007600
MI
Other
Enumeration date
02/13/2015
Last updated
02/13/2015
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