Individual
MS. LAUREN ANNE BORTNEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
468 CADIEUX RD, GROSSE POINTE, MI 48230-1507
(313) 473-1000
Mailing address
12869 MANDALAY CIR, UTICA, MI 48315-6840
(516) 655-4437
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT19892
FL
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
Other
Enumeration date
11/29/2018
Last updated
07/16/2024
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