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Individual

LISA NEWBOLD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
120 HALL PL, GROSSE POINTE FARMS, MI 48236-3807
(616) 914-2007
Mailing address
120 HALL PL, GROSSE POINTE FARMS, MI 48236-3807
(616) 914-2007

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201007671
MI
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
02/07/2026
Last updated
02/13/2026
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