Individual
MRS. KAYLA S LASSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
25811 W 12 MILE RD STE 207, SOUTHFIELD, MI 48034-1896
(248) 356-7415
Mailing address
21776 COLONY PARK CIR APT 204, SOUTHFIELD, MI 48076-1658
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009923
MI
Other
Enumeration date
08/27/2017
Last updated
08/27/2017
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