Individual
DR. SUSAN MARIE CLEGHORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DROT
Contact information
Practice address
6645 LORNE DR, PENTWATER, MI 49449-9610
(616) 402-9115
Mailing address
6645 LORNE DR, PENTWATER, MI 49449-9610
(616) 402-9115
Taxonomy
Speciality
Code
Description
License number
State
225XE0001X
Environmental Modification Occupational Therapist
Primary
5201006107
MI
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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