Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 5201004865 | MI |
NPI | 1568964419 |
---|---|
Provider Name | Lanette Sue Hoard |
First Address | Saginaw, MI 48603-9622 |
Second Address | Saginaw, MI 48603-9622 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/03/2018 |
Last Update Date | 07/03/2018 |