Individual
MS. LORI A SCOUTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
730 RIVERSIDE AVE, ADRIAN, MI 49221-1445
(517) 266-1700
Mailing address
730 RIVERSIDE AVE, ADRIAN, MI 49221-1445
(517) 266-1700
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201001590
MI
225XE0001X
Environmental Modification Occupational Therapist
5201001590
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5201001590
—
MI
Enumeration date
12/01/2018
Last updated
12/01/2018
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