Carissa Montague OTR/L
Occupational Therapist in Grand Rapids, MI(View on Map)
Full Name
Carissa Montague OTR/L
NPI Number
1093311714
NPI Type
Individual Provider
Gender
Female
Enumeration Date
12/08/2020
Specialties
(Taxonomies)Licenses
State
Michigan
License Number
5201011009
Contact
Information
Purpose
Mailing
Location
Address
5429 NORTHLAND DR NE STE A
5429 NORTHLAND DR NE STE A
City
Grand Rapids
Grand Rapids
State
MI
MI
Postal Code
49525-1089
49525-1089
Country
US
US
Telephone Number
N/A
(616) 855-0540
Identifiers
Identifier
5201011009
Identifier State
MI
Identifier Issuer
STATE OF MICHIGAN
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/08/2021
Provider Address
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