Individual
LISA GOBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
42869 WOODWARD AVE, BLOOMFIELD HILLS, MI 48304-5036
(248) 952-9180
(248) 952-9185
Mailing address
5798 HIGHLAND RD, WATERFORD, MI 48327-1826
(248) 724-4400
(248) 724-4405
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201001806
MI
Other
Enumeration date
03/07/2007
Last updated
11/17/2016
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