Individual
MRS. LISA ANN SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5321 BLOOMFIELD DR, MIDLAND, MI 48642-7172
(989) 670-0357
Mailing address
5321 BLOOMFIELD DR, MIDLAND, MI 48642-7172
(989) 670-0357
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201006629
MI
Other
Enumeration date
01/09/2016
Last updated
10/19/2022
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