Individual
LAURIE A SEVERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
2609 CHARLEVOIX AVE, PETOSKEY, MI 49770
(231) 439-3750
(231) 439-5918
Mailing address
2609 CHARLEVOIX AVE, PETOSKEY, MI 49770
(231) 439-3750
(231) 439-5918
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502002524
MI
Other
Enumeration date
11/09/2012
Last updated
03/15/2018
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