Individual
CALEB JOHN MARVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CTRS
Contact information
Practice address
7794 PAINT CREEK DR, YPSILANTI, MI 48197-6139
(734) 352-3543
Mailing address
160 WHIPPLE ST, SOUTH LYON, MI 48178-1114
(989) 205-9663
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
68419
MI
Other
Enumeration date
03/16/2017
Last updated
03/16/2017
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