Individual
MISS SHANEL LYNETTE SEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1900 S LACHANCE ROAD, LAKE CITY, MI 49651
(231) 775-3081
Mailing address
3689 N 33 RD, MANTON, MI 49663-9694
(231) 920-5369
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202007376
MI
Other
Enumeration date
12/28/2012
Last updated
12/28/2012
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