Individual
LORA GAZAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
46100 SCHOENHERR RD, SHELBY TWP, MI 48315-5344
(586) 566-1100
Mailing address
46100 SCHOENHERR RD, SHELBY TWP, MI 48315-5344
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201006688
MI
Other
Enumeration date
05/22/2018
Last updated
05/22/2018
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