Individual
MR. GEORGE RICHARD ULLERY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTRL
Contact information
Practice address
1620 S MISSION ST STE O, MT PLEASANT, MI 48858-4466
(989) 282-0320
Mailing address
2311 E GINTER RD, MIDLAND, MI 48640-8936
(989) 600-1537
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201010472
MI
Other
Enumeration date
03/20/2019
Last updated
03/20/2019
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