Individual
LINDSAY MARIE-PORTREY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8542 W GRAND RIVER AVE, BRIGHTON, MI 48116-2326
(734) 449-4649
Mailing address
8542 W GRAND RIVER AVE, BRIGHTON, MI 48116-2326
(734) 449-4649
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009312
MI
Other
Enumeration date
02/18/2016
Last updated
10/22/2019
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