Individual
LISA ELLEN BARNTHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6535 DRAKE RD, WEST BLOOMFIELD, MI 48322-3147
(248) 741-1720
Mailing address
6035 CHERYL CT, WEST BLOOMFIELD, MI 48324-3130
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201002231
MI
Other
Enumeration date
07/22/2018
Last updated
07/22/2018
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