Individual
CARRIE SAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1840 WEALTHY ST SE, GRAND RAPIDS, MI 49506-2921
(616) 267-3823
Mailing address
2029 BRIDGEPORT RD NE APT 223, GRAND RAPIDS, MI 49505-6308
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201007055
MI
Other
Enumeration date
03/07/2018
Last updated
03/07/2018
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