Individual
KAVITA SURYAVANSHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
404 W NEPESSING ST, SUITE B, LAPEER, MI 48446-2150
(810) 245-1900
(810) 245-9080
Mailing address
404 W NEPESSING ST, SUITE B, LAPEER, MI 48446-2150
(810) 245-1900
(810) 245-9080
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201002431
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5201002431
BCBS
—
Enumeration date
09/04/2008
Last updated
09/04/2008
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