Individual
AUSTIN AVERY LEPAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 HURLEY PLZ, FLINT, MI 48503-5902
(810) 262-8290
Mailing address
7600 E M 71, DURAND, MI 48429-9776
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201013063
MI
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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