Individual
WEBB GM LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
2140 E ELLSWORTH RD, ANN ARBOR, MI 48108-2552
(734) 865-8098
Mailing address
2140 E ELLSWORTH RD, ANN ARBOR, MI 48108-2552
(734) 865-8098
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202008488
MI
Other
Enumeration date
12/16/2022
Last updated
12/16/2022
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