Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 5201008369 | MI |
NPI | 1114279890 |
---|---|
Provider Name | Ms. Jenni Lampson |
First Address | Clinton Township, MI 48038-1656 |
Second Address | Sterling Heights, MI 48313-1957 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2012 |
Last Update Date | 10/02/2017 |