Individual
DIANA CALDERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
7971 MOORSBRIDGE RD, PORTAGE, MI 49024-4075
(269) 321-0929
(269) 321-0929
Mailing address
7971 MOORSBRIDGE RD, PORTAGE, MI 49024-4075
(269) 321-0929
(269) 321-0929
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201008545
MI
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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