Individual
LAURA BURTRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2585 LAFRANIER RD, TRAVERSE CITY, MI 49686-8972
(231) 947-9511
Mailing address
324 LONE PINE TRL, LAPEER, MI 48446-9458
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101004458
MI
Other
Enumeration date
08/11/2018
Last updated
08/11/2018
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