Individual
MS. LYNDA T CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
48208 W GRAND BLVD, DETROIT, MI 48208-1105
(313) 961-3700
(313) 961-3769
Mailing address
48208 W GRAND BLVD, DETROIT, MI 48208-1105
(313) 961-3700
(313) 961-3769
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202004534
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5202004534
STATE LICENSE NUMBER
MI
Enumeration date
09/07/2006
Last updated
07/08/2007
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