Individual
MICHELLE W CICCANTELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
888 TERRACE ST, MUSKEGON, MI 49440-1220
(231) 672-4663
(231) 672-4986
Mailing address
608 WASHINGTON AVE, GRAND HAVEN, MI 49417-1457
(616) 842-1075
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201000613
MI
Other
Enumeration date
11/26/2018
Last updated
11/26/2018
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