Individual
CARLY CLEVELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4353 STONEBRIDGE DR SW APT 1, WYOMING, MI 49519-4166
(269) 532-8218
Mailing address
4353 STONEBRIDGE DR SW APT 1, WYOMING, MI 49519-4166
(269) 532-8218
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202008471
MI
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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