Individual
CARISSA ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 W MICHIGAN ST, MILWAUKEE, WI 53203-2903
(616) 261-3960
Mailing address
8011 108TH ST SE, MIDDLEVILLE, MI 49333-9302
(616) 540-2140
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202007123
MI
Other
Enumeration date
11/02/2013
Last updated
06/23/2015
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