Individual
LAURA JANE PATCHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTL
Contact information
Practice address
1411 3RD ST STE C, PORT HURON, MI 48060-5480
(810) 488-8380
(810) 985-5543
Mailing address
311 ROSEWOOD DR, MARYSVILLE, MI 48040-1140
(810) 364-4332
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201001504
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306227764
—
MI
05
—
1609989805
—
MI
Enumeration date
12/19/2018
Last updated
12/30/2018
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