Individual
MRS. RACHEL COTNER SIEFERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6892 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3032
(248) 788-4300
Mailing address
6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
(248) 325-1000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
L144578
MI
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
L144578
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629316815
LIFE SKILLS VILLAGE
MI
Enumeration date
04/09/2014
Last updated
03/08/2018
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