Individual
MRS. LAURA SUZANNE FAIRFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5315 ELLIOTT DR, STE 202, YPSILANTI, MI 48197-8634
(734) 712-0600
Mailing address
6342 WINDHAM PL, GRAND BLANC, MI 48439-9127
(810) 606-8170
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201004568
MI
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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