Individual
LISA LYNN BIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1901 N TELEGRAPH RD, WATERFORD, MI 48328-1878
(248) 836-1000
Mailing address
6635 LANMAN DR, WATERFORD, MI 48329-2933
(248) 535-1865
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
12/22/2021
Last updated
01/23/2025
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