NPI 1225566003

Carly Gail Wagonschutz, COTAL

Practitioner Occupational Therapy Assistant East Lansing, MI

Practice location

Address: 2530 Marfitt Rd, East Lansing, MI 48823-6343
Phone: (866) 486-8811
Mailing address: 1217 Schavey Rd, Dewitt, MI 48820-9523

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 5202008251 (MI)

Other Occupational Therapy Assistant providers in Michigan →

Registry record

NPI: 1225566003
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 May 2017
Record last updated: 24 May 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.