Individual
MEGAN AUBREY SELLENRAAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
808 S GARFIELD AVE, SUITE A, TRAVERSE CITY, MI 49686-3464
(231) 929-2354
(231) 929-2853
Mailing address
8080 N SWEDE RD, NORTHPORT, MI 49670-9401
(231) 386-7298
(231) 929-2853
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056-007436
IL
225X00000X
Occupational Therapist
Primary
5201007598
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A2741KD1
—
IL
Enumeration date
08/25/2006
Last updated
10/25/2011
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