Individual
STACEY KARPOUZES MOWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1650 BARLOW ST STE 10, TRAVERSE CITY, MI 49686-4721
(231) 941-8100
Mailing address
4240 HEARTHSIDE DR, TRAVERSE CITY, MI 49684-8941
(971) 322-9843
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201011134
MI
Other
Enumeration date
12/13/2021
Last updated
12/13/2021
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