Mighty Oak Therapy Services Pllc

NPI #1578154167 in Traverse City, Michigan

Provider Information

NPI Number: 1578154167
Entity Type: Organization
Organization Name: Mighty Oak Therapy Services Pllc
Primary Specialty: Occupational Therapist
Enumeration Date: Jan 27, 2021
Last Updated: Jan 27, 2021

Practice Location

Address: 672 LAKEWOOD RD
City: Traverse City
State: Michigan
ZIP Code: 49685-8872
Phone: (231) 392-6420

Authorized Official

Name: JODI LEE CARROLL, MS, OTR/L
Title: OWNER
Phone: (231) 392-6420

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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