Individual
LINDSAY BUCKLEY LUDTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4322 BRANDYWYNE DR, TROY, MI 48098-4233
(586) 484-0479
Mailing address
4322 BRANDYWYNE DR, TROY, MI 48098-4233
(586) 484-0479
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201006937
MI
Other
Enumeration date
01/21/2008
Last updated
08/31/2015
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