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Individual

LAURA C KONRAD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
809 DARTMOOR RD, ANN ARBOR, MI 48103-4517
(734) 623-3204
Mailing address
809 DARTMOOR RD, ANN ARBOR, MI 48103-4517
(734) 623-3204

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201001076
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5201001076
MICHIGAN BOARD OF OCCUPATIONAL THERAPISTS LICENCE
MI
01
988055
NATIONAL BOARD FOR CERTIFICATION OF OCCUPATIONAL THERAPISTS
Enumeration date
04/13/2012
Last updated
04/13/2012
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