Individual
LINDA LUBANSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
46200 PORT ST, PLYMOUTH, MI 48170-6048
(734) 347-3030
Mailing address
46200 PORT ST, PLYMOUTH, MI 48170-6048
(734) 347-3030
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5201000020
MI
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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