Individual
SAMUEL DOMINIC ZUCCALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
2532 W CADILLAC DR, FARWELL, MI 48622-9757
(989) 588-9928
Mailing address
1739 STOCKMAN RD, MT PLEASANT, MI 48858-4218
(734) 476-6323
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009962
MI
Other
Enumeration date
09/29/2017
Last updated
09/29/2017
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