Individual
SHAY L FOURNIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOT, OTRL
Contact information
Practice address
1300 W HOUGHTON LAKE DR, PRUDENVILLE, MI 48651
(989) 202-2668
Mailing address
748 W VALLEY RD, WEST BRANCH, MI 48661-9706
(989) 889-6939
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201013260
MI
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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