Individual
SOMMER V COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTAL
Contact information
Practice address
5601 HATCHERY RD, WATERFORD, MI 48329-3451
(248) 274-5647
Mailing address
23240 MILLARD ST, SOUTHFIELD, MI 48033-4319
(313) 268-7095
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202007421
MI
Other
Enumeration date
08/28/2014
Last updated
08/28/2014
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