NPI 1285276972

Gabrielle Renate Lightcap, COTAL

Practitioner Occupational Therapy Assistant Metamora, MI

Practice location

Address: 3508 S Lapeer Rd, Metamora, MI 48455-8768
Phone: (810) 212-1134

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 5202008546 (MI)

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Registry record

NPI: 1285276972
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Oct 2019
Record last updated: 14 Oct 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.