Individual
DESAREE M CARWILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR CHT
Contact information
Practice address
1350 KIRTS BLVD, TROY, MI 48084-4851
(248) 519-4900
(248) 269-0385
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201005486
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194967737
—
MI
Enumeration date
03/27/2009
Last updated
01/19/2017
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