Lesley Baumer, OTR

Individual provider Active NPI Occupational Therapist · Kingsford, MI

NPI 1750859641 · NPPES record last updated Nov 8, 2018

Key facts

NPI
1750859641
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
5201008205 (MI)
Practice address
1820 Marys Way
Kingsford, MI 49802-4248
Phone
(906) 282-1653
NPI assigned
Nov 8, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
5201008205MIMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5201008205 MI Yes

Addresses

Primary practice location

1820 Marys Way
Kingsford, MI 49802-4248

Mailing address

W3101 Ridgecrest Dr
Vulcan, MI 49892-8290
Phone (906) 282-1653

Other providers in Kingsford, MI

All providers in Kingsford, MI · Occupational Therapist in Michigan

Sources for this page

Verify at the official NPI Registry.