Individual
PATRICIA LEE DELONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHS, OTR/L
Contact information
Practice address
616 S CREYTS RD, LANSING, MI 48917-8269
(517) 303-9768
Mailing address
616 S CREYTS RD, LANSING, MI 48917-8269
(517) 303-9768
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201005255
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5201005255
STATE OF MICHIGAN BOARD OF OCCUPATIONAL THERAPISTS
MI
Enumeration date
05/27/2022
Last updated
05/27/2022
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