Individual
MR. DONALD ALLEN MICHAEL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.T.R.
Contact information
Practice address
207 N TOWNLINE RD, LAGRANGE, IN 46761-1325
(260) 463-2143
(260) 463-2513
Mailing address
61 E CHICAGO ST, QUINCY, MI 49082-1127
(517) 639-3229
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
31003459A
IN
225X00000X
Occupational Therapist
5201003897
MI
225XH1200X
Hand Occupational Therapist
Primary
OTOO4093
OH
Other
Enumeration date
01/26/2006
Last updated
09/11/2025
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