Individual
ANTONIO VACCARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
1937 TERRITORIAL RD W, BATTLE CREEK, MI 49015-4947
(269) 998-4436
Mailing address
1937 TERRITORIAL RD W, BATTLE CREEK, MI 49015-4947
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5201006965
STATE PROFESSIONAL LICENCE
MI
Enumeration date
12/27/2018
Last updated
12/27/2018
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