Individual
LAURA MASLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1650 FORT ST, TRENTON, MI 48183-2041
(734) 675-3908
Mailing address
8165 BELLEVUE RD, GROSSE ILE, MI 48138-1892
(734) 673-0450
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
L279125
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H27626
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
Enumeration date
08/28/2014
Last updated
08/28/2014
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