Individual
ELIZABETH M SLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 S LACHANCE RD, LAKE CITY, MI 49651-8022
(231) 775-3081
(231) 775-7740
Mailing address
1900 S LACHANCE RD, LAKE CITY, MI 49651-8022
(231) 775-3081
(231) 775-7740
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201006851
MI
Other
Enumeration date
07/17/2013
Last updated
07/17/2013
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