Individual
MICHAEL ADAM CARDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
125 STADIUM DR, TALLMADGE, OH 44278-1906
(330) 234-6284
Mailing address
125 STADIUM DR, TALLMADGE, OH 44278-1906
(330) 234-6284
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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