Individual
EMILY LIPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4040 BEACON ST, KINGSLEY, MI 49649-9548
(231) 263-1350
Mailing address
4040 BEACON ST, KINGSLEY, MI 49649-9548
(231) 263-1350
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
225X00000X
Occupational Therapist
Primary
5201010525
MI
Other
Enumeration date
09/16/2017
Last updated
07/21/2022
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