Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA ANNE CAROLLO, MS,OTL
Active Sole ProprietorLISA ANNE CAROLLO, MS,OTL is a Comprehensive Outpatient Rehabilitation Facility healthcare provider located in CRYSTAL FALLS, Michigan. NPI 1336626886 is currently active in the NPPES registry. Verify at CMS.
Comprehensive Outpatient Rehabilitation Facility · CRYSTAL FALLS, MI
Registration Details
- NPI Number
- 1336626886
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 26, 2018 (8.0583094137722 yrs)
- Last Updated
- Jul 26, 2018
- License
-
5201003009 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1523 US HIGHWAY 2CRYSTAL FALLS, MI, 499209633Browse MI providers · Browse ZIP 49920
- Phone
- 9068741444
- Primary Specialty
-
Comprehensive Outpatient Rehabilitation Facility
261QR0401X
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.