Individual
CLARISSA JEAN WEGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
1447 N HARRISON ST, SAGINAW, MI 48602-4727
(989) 583-0000
Mailing address
12189 SANDERS DR, FREELAND, MI 48623-9535
(989) 798-1860
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201008809
MI
Other
Enumeration date
03/15/2018
Last updated
03/15/2018
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