Most Relevant Information
Provider Data
| NPI Number: | 1003405747 |
| Provider Name: | LEE AUSTIN WILFORD |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 5201011111 |
Most Important Dates
| Enumeration Date: | 01/17/2021 |
| Last Updated: | 03/30/2021 |
Provider Practice Location
500 E UNIVERSITY DR
ROCHESTER
MI
483077206
Practice Location Phone/Fax
| Phone: | 9897508511 |
| Fax: |
Provider Mailing Location
2407 N RAYMOND RD
MIDLAND
MI
486427294
Provider Mailing Phone/Fax
| Phone: | 9897508511 |
| Fax: |