Carly Wagonschutz, COTA/L

NPI 1225566003 · on the registry since 2017 · sole proprietor

Practice

Address: 2530 Marfitt Rd
East Lansing, MI 48823
Phone: (866) 486-8811
Organisation at this address: Aegis Group Practice Llc
Loving Hands Caring Hearts, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 224Z00000X
224Z00000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2017-05-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan