Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 5201003624 | MI |
NPI | 1003815853 |
---|---|
Provider Name | Dr. Donald William Earley |
First Address | Midland, MI 48640-2540 |
Second Address | Freeland, MI 48623-8856 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2005 |
Last Update Date | 08/07/2007 |