Individual
CONNIE FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1330 GRAND POINTE CT, GRAND BLANC, MI 48439-5502
(810) 695-8920
Mailing address
1330 GRAND POINTE CT, GRAND BLANC, MI 48439-5502
(810) 344-3518
(810) 695-8922
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201001436
MI
Other
Enumeration date
08/03/2018
Last updated
08/03/2018
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