Individual
CRAIG DOUGLAS MOREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.O.T.A.
Contact information
Practice address
707 ARMSTRONG RD, LANSING, MI 48911-3906
(517) 393-5814
Mailing address
5057 RAY RD, LINDEN, MI 48451-9460
(810) 265-9226
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202007627
MI
Other
Enumeration date
01/10/2014
Last updated
01/10/2014
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