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LAURA T WOODWORTH OTR
>> Occupational Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1972503258
Individual Registrant: LAURA T WOODWORTH OTR
Gender: F
Gender: F
Location and contact information for practice:
2500 S HILL RD GLADSTONE, MI 49837-2310 US
Tel: 906-630-1293 Fax: 906-428-2699
Tel: 906-630-1293 Fax: 906-428-2699
Contact information for business:
2500 S HILL RD GLADSTONE, MI 49837-2310 US
Tel: 906-630-1293 Fax: 906-428-2699
Tel: 906-630-1293 Fax: 906-428-2699
Registration Information:
NPI: 1972503258
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapist | MI | 5201000682 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| STATE OTRREGISTRATION NO | 5201000682 | MI | 01 |
