Individual
JOSE ANGEL CARRIZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/R
Contact information
Practice address
2550 MEADOWBROOK RD, BENTON HARBOR, MI 49022-9609
(269) 532-5774
Mailing address
34250 BOND DR, PAW PAW, MI 49079-9515
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201003925
MI
Other
Enumeration date
11/28/2018
Last updated
11/28/2018
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