Individual
CHARITY LYNN MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
200 SAND CREEK HWY, ADRIAN, MI 49221-1255
(517) 263-6794
Mailing address
200 SAND CREEK HWY, ADRIAN, MI 49221-1255
(517) 263-6794
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7101001001
MI
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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