CARLY GAIL WAGONSCHUTZ

EAST LANSING, MI
NPI1225566003
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MI  5202008251)
Enumeration Date2017-05-24
Last Update Date2017-05-24
Business Address
Ms. CARLY GAIL WAGONSCHUTZ COTA/L
2530 MARFITT RD
EAST LANSING, MI 48823-6343
Phone number: 866-486-8811
Mailing Address
Ms. CARLY GAIL WAGONSCHUTZ COTA/L
1217 SCHAVEY RD
DEWITT, MI 48820-9523
Phone number: 517-749-5320