Individual
KATHY GORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.R.,C.H.T.
Contact information
Practice address
701 SNOW RD, SUITE A, LANSING, MI 48917-4087
(517) 323-0593
(517) 323-0002
Mailing address
PO BOX 558, DEWITT, MI 48820-0558
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201002482
MI
Other
Enumeration date
10/22/2012
Last updated
10/22/2012
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