Individual
JAMES BERNARD OSWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
508 RANDOM LN, GAYLORD, MI 49735-9304
(989) 732-3508
(989) 732-0389
Mailing address
1016 MICHIGAN AVE, SAINT LOUIS, MI 48880-1018
(989) 217-1476
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202007261
MI
Other
Enumeration date
11/04/2013
Last updated
12/19/2020
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