Individual
LISA FARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1401 CEDAR ST NE, GRAND RAPIDS, MI 49503-1375
(616) 486-3900
Mailing address
5700 DIX DR NE, BELMONT, MI 49306-9060
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201001881
MI
Other
Enumeration date
03/11/2018
Last updated
03/11/2018
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