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Individual

BARBARA DANIELS UPSHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2815 S PENNSYLVANIA AVE, LANSING, MI 48910-3495
(517) 975-9900
Mailing address
13336 BLACKWOOD DR, DEWITT, MI 48820-8104
(517) 669-2455

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201001677
MI

Other

Enumeration date
12/20/2018
Last updated
12/20/2018
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