Individual
MRS. CARI L KONOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
49440 JASMINE WAY, MATTAWAN, MI 49071-9725
(269) 716-7021
Mailing address
49440 JASMINE WAY, MATTAWAN, MI 49071-9725
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201008110
MI
Other
Enumeration date
10/29/2012
Last updated
10/29/2012
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