Individual
LISA HULETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
12319 HIGHLAND RD, SUITE 501, HARTLAND, MI 48353-2946
(810) 991-1211
Mailing address
456 NATANNA DR, HOWELL, MI 48843-7382
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
5201008397
MI
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
5201008397
MI
225XP0200X
Pediatric Occupational Therapist
Primary
5201008397
MI
Other
Enumeration date
10/27/2012
Last updated
10/27/2012
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