Organization
MIGHTY OAK THERAPY SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI LEE CARROLL MS, OTR/L (OWNER)
(231) 392-6420
Entity
Organization
Contact information
Practice address
672 LAKEWOOD RD, TRAVERSE CITY, MI 49685-8872
(231) 392-6420
(231) 346-5986
Mailing address
672 LAKEWOOD RD, TRAVERSE CITY, MI 49685-8872
(231) 392-6420
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
01/27/2021
Last updated
01/27/2021
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