Individual
MS. ANNE COLAVINCENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3317 GARLAND ST, MIDLAND, MI 48642-4000
(937) 609-0616
Mailing address
3317 GARLAND ST, MIDLAND, MI 48642-4000
(937) 609-0616
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5201008763
MI
Other
Enumeration date
12/14/2014
Last updated
12/14/2014
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