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1093311714
CARISSA MONTAGUE
GRAND RAPIDS, MI
NPI
1093311714
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MI 5201011009)
Enumeration Date
2020-12-08
Last Update Date
2021-06-08
Business Address
CARISSA MONTAGUE OTR/L
5429 NORTHLAND DR NE STE A
GRAND RAPIDS, MI 49525-1089
Phone number: 616-855-0540
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Mailing Address
CARISSA MONTAGUE OTR/L
5429 NORTHLAND DR NE STE A
GRAND RAPIDS, MI 49525-1089
Phone number:
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