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Individual

LAUREL MARGARET PACKARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
(734) 646-1985
Mailing address
6240 RYAN VALLEY DR NE, BELMONT, MI 49306-8001
(734) 646-1985

Taxonomy

Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
5201006328
MI

Other

Enumeration date
03/17/2018
Last updated
03/17/2018
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