Individual
MAX MODRALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSOT, OTRL
Contact information
Practice address
1447 N HARRISON ST, SAGINAW, MI 48602-4727
(989) 583-0000
Mailing address
5259 S GLEN OAK DR, SAGINAW, MI 48603-1764
(989) 280-9559
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201012802
MI
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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