Individual
MS. LANIKA SHANTEL MOSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1410 AVON PARK DR APT 7, FLINT, MI 48503-7203
(810) 210-2758
Mailing address
1410 AVON PARK DR APT 4, FLINT, MI 48503-7203
(810) 210-2758
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1669
CA
224Z00000X
Occupational Therapy Assistant
2007012791
MO
Other
Enumeration date
04/02/2008
Last updated
08/29/2010
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