Individual
CARLY ADRIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
15023 21 MILE RD, SHELBY TOWNSHIP, MI 48315-5024
(586) 286-9644
(586) 286-9647
Mailing address
15023 21 MILE RD, SHELBY TOWNSHIP, MI 48315-5024
(586) 286-9644
(586) 286-9647
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201010577
MI
Other
Enumeration date
04/30/2016
Last updated
06/18/2019
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