Individual
ELIZABETH THERESA SCHUPRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
5877 LIVERNOIS RD STE 101, TROY, MI 48098-3100
(248) 828-3800
(248) 828-4226
Mailing address
2904 MASEFIELD DR, BLOOMFIELD HILLS, MI 48304-1950
(248) 229-8186
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201001910
MI
Other
Enumeration date
03/23/2018
Last updated
10/14/2020
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