Individual
MARYLYNN EWALD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3525 DAVENPORT AVE, SAGINAW, MI 48602-3308
(989) 497-6040
(989) 497-6054
Mailing address
3525 DAVENPORT AVE, SAGINAW, MI 48602-3308
(989) 497-6040
(989) 497-6054
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201004634
MI
Other
Enumeration date
06/14/2006
Last updated
07/08/2007
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