Individual
LAUREN MATHERNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2535 22ND ST, BAY CITY, MI 48708-7612
(989) 891-9800
Mailing address
411 N BIRNEY ST, BAY CITY, MI 48708-6639
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5201009429
MI
Other
Enumeration date
09/16/2016
Last updated
09/16/2016
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