Individual
LISA GAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
824 S HURON ST, CHEBOYGAN, MI 49721-2210
(231) 627-4347
Mailing address
9570 JOHN WERNER DR, CHEBOYGAN, MI 49721-9411
(740) 491-2623
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5202008074
MI
Other
Enumeration date
09/29/2016
Last updated
09/29/2016
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