Individual
CARLY MCCALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5900 BYRON CENTER AVE SW, WYOMING, MI 49519-9606
(616) 252-7199
Mailing address
5670 DORADO CT NE, ROCKFORD, MI 49341-8528
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009768
MI
Other
Enumeration date
03/14/2018
Last updated
03/14/2018
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