Individual
KARYS PROVOAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 NORTH ST W, TAWAS CITY, MI 48763-9161
(989) 362-8645
(989) 362-4462
Mailing address
400 NORTH ST W, TAWAS CITY, MI 48763-9161
(989) 362-8645
(989) 362-4462
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201007884
MI
Other
Enumeration date
11/08/2013
Last updated
11/08/2013
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