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Individual

GRANT WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTRL

Contact information

Practice address
830 W LAKE LANSING RD, EAST LANSING, MI 48823-6371
(517) 333-8533
Mailing address
3290 SALEM DR, ROCHESTER HILLS, MI 48306-2937
(248) 494-2480

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201013348
MI

Other

Enumeration date
05/18/2023
Last updated
05/18/2023
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