Individual
LORI MARGARET BOOMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1167 E HOPSON ST, BAD AXE, MI 48413-1555
(989) 369-9983
Mailing address
1167 E HOPSON ST, BAD AXE, MI 48413-1555
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201003547
MI
Other
Enumeration date
08/03/2018
Last updated
08/03/2018
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