Individual
LORETTA M THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5044 175TH AVE, HERSEY, MI 49639-8468
(231) 832-2234
Mailing address
19270 SENECA AVE, BIG RAPIDS, MI 49307-9508
(231) 629-6824
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201004369
MI
Other
Enumeration date
06/12/2012
Last updated
07/21/2022
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