Individual
AUDRA SHOEMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12787 S SAGINAW ST, SUITE C4, GRAND BLANC, MI 48439-1830
(810) 771-7631
(810) 771-7976
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201003096
MI
Other
Enumeration date
01/14/2016
Last updated
01/14/2016
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