Individual
LORI FAITEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6892 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3032
(248) 788-4300
(248) 605-8099
Mailing address
28555 ORCHARD LAKE RD, SUITE 106, FARMINGTON HILLS, MI 48334-2973
(248) 788-4300
(248) 605-8099
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202001112
MI
Other
Enumeration date
12/09/2013
Last updated
12/09/2013
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