Individual
FORREST LEWIS WASHBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
13331 15 MILE RD, STERLING HEIGHTS, MI 48312-4210
(586) 788-0702
Mailing address
47001 WATERS EDGE LN APT A205, VAN BUREN TWP, MI 48111-3152
(269) 680-1169
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201011381
MI
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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