Elizabeth M Slack

NPI #1164863296 in Lake City, Michigan

Provider Information

NPI Number: 1164863296
Entity Type: Individual
Name: Elizabeth M Slack
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Jul 17, 2013
Last Updated: Jul 17, 2013

Practice Location

Address: 1900 S LACHANCE RD
City: Lake City
State: Michigan
ZIP Code: 49651-8022
Phone: (231) 775-3081

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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