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Individual

MRS. TAMMY LYNN BAUDOUX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
11051 N CUT RD, ROSCOMMON, MI 48653-9340
(989) 275-9527
Mailing address
PO BOX 827, ROSCOMMON, MI 48653-0827
(989) 275-9527

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5201005083
MI

Other

Enumeration date
02/15/2021
Last updated
02/15/2021
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