Individual
DEANNA L SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA, COTA
Contact information
Practice address
620 N 2ND ST, CARSON CITY, MI 48811-9790
(989) 584-6100
Mailing address
10650 HEETHER RD, BELDING, MI 48809-8717
(616) 292-2362
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202007265
MI
225200000X
Physical Therapy Assistant
5502003329
MI
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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