Individual
STACEY WEBSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 S CRAPO ST, MT PLEASANT, MI 48858-2944
(989) 773-5918
Mailing address
400 S CRAPO ST, MT PLEASANT, MI 48858-2944
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201007672
MI
Other
Enumeration date
11/25/2013
Last updated
11/25/2013
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