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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. CARLY GAIL WAGONSCHUTZ, COTA/L

Active Sole Proprietor

MS. CARLY GAIL WAGONSCHUTZ, COTA/L is a Occupational Therapy Assistant healthcare provider located in EAST LANSING, Michigan. NPI 1225566003 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · EAST LANSING, MI

Registration Details

NPI Number
1225566003
Provider Type
Individual
Gender
Female
NPI Issued
May 24, 2017 (9.1849306016151 yrs)
Last Updated
May 24, 2017
License
5202008251 (MI)
Sole Proprietor
Yes

Practice Information

Address
2530 MARFITT RD
EAST LANSING, MI, 488236343
Browse MI providers · Browse ZIP 48823
Phone
8664868811
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in EAST LANSING, MI

Name Credential NPI
MRS. TAMELA S BROUILLETTE COTA 1992937205
MR. MARK ANTHONY PATTEE COTA/L 1720359193
VICKIE MARA 1083042857
ANDREA LEIGH YEITER COTA/L 1760996243
CLINT M NORTHROP COTA 1013485184
EMILY LYNN KANAN 1346848595
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.