AMANDA JEAN CALLOCKIO

JACKSON, MI
NPI1316281009
Former NameAMANDA COSTELLO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MI  5201008341)
Enumeration Date2012-11-19
Last Update Date2019-06-18
Business Address
AMANDA JEAN CALLOCKIO O.T.R.
5025 ANN ARBOR RD
JACKSON, MI 49201-8801
Phone number: 517-764-2000
Mailing Address
AMANDA JEAN CALLOCKIO O.T.R.
5025 ANN ARBOR RD
JACKSON, MI 49201-8801
Phone number: 517-764-2000