Individual
CAROLYN MYRNA MICHAELI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 STEEPLETREE LN, WAYLAND, MA 01778-3912
(508) 358-7255
Mailing address
10 STEEPLETREE LN, WAYLAND, MA 01778-3912
(508) 358-7255
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
274
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0349682
—
MA
Enumeration date
05/03/2007
Last updated
07/08/2007
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