Individual
MS. CARLENE GRACE DARDAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTAL
Contact information
Practice address
2463 S M 30, WEST BRANCH, MI 48661-9312
(989) 345-3660
Mailing address
1680 N JONES RD, ESSEXVILLE, MI 48732-1586
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202008011
MI
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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