| Mrs Carolyn Faith Clay-pineda, PT | |
|
W3101 Ridgecrest Dr, Vulcan, MI 49892-8290 | |
| (906) 563-9443 | |
| (906) 563-9443 |
| Full Name | Mrs Carolyn Faith Clay-pineda |
|---|---|
| Gender | Female |
| Speciality | Physical Medicine & Rehabilitation |
| Location | W3101 Ridgecrest Dr, Vulcan, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124079363 | NPI | - | NPPES |
| 650B21070-0 | Other | MI | BCBS GROUP PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 5201004236 (Michigan) | Primary |
| 225X00000X | Occupational Therapist | 3472-026 (Wisconsin) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Carolyn Faith Clay-pineda, PT N1179 Wpa Rd, Vulcan, MI 49892-8603 Ph: (906) 563-9443 | Mrs Carolyn Faith Clay-pineda, PT W3101 Ridgecrest Dr, Vulcan, MI 49892-8290 Ph: (906) 563-9443 |
Mrs. Cheryl Lynn Carlson, P.T. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: W3101 Ridgecrest Dr, Vulcan, MI 49892 Phone: 906-563-8204 Fax: 906-563-8942 |