Individual
MISS LISA MICHELLE O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
49114 VAN DYKE AVE, SHELBY TOWNSHIP, MI 48317-1332
(586) 254-4040
Mailing address
49114 VAN DYKE AVE, SHELBY TOWNSHIP, MI 48317-1332
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201005511
MI
Other
Enumeration date
07/13/2006
Last updated
07/11/2013
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