Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 5202007303 | MI |
NPI | 1023370277 |
---|---|
Provider Name | Mrs. Julia Sarotte |
First Address | Macomb, MI 48044-3730 |
Second Address | Macomb, MI 48044-3730 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2012 |
Last Update Date | 13/06/2012 |