Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 5201006619 | MI |
NPI | 1386977395 |
---|---|
Provider Name | Ms. Carrie Kristine Saunders |
First Address | Petoskey, MI 49770-8720 |
Second Address | Boyne Falls, MI 49713-9307 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/09/2009 |
Last Update Date | 09/09/2009 |