Individual
CAROL GANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.R.
Contact information
Practice address
21391 RIDGEDALE ST, OAK PARK, MI 48237-2707
(248) 336-3969
Mailing address
21391 RIDGEDALE ST, OAK PARK, MI 48237-2707
(248) 336-3969
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201001527
MI
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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