Individual
MS. LORI IRVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
14815 TELEGRAPH RD, REDFORD, MI 48239
(313) 592-0038
(313) 541-2887
Mailing address
119 LAKESHORE VISTA, HOWELL, MI 48843
(313) 592-0038
(313) 541-2887
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201004655
MI
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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