Individual
MS. LISA LYNN HURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
7377 DEERTRACK CT, YPSILANTI, MI 48197-9591
(734) 834-4216
Mailing address
7377 DEERTRACK CT, YPSILANTI, MI 48197-9591
(734) 834-4216
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202006537
MI
Other
Enumeration date
08/16/2010
Last updated
08/16/2010
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