Individual
URSULA KOTZABASSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
10909 HANNAN RD, ROMULUS, MI 48174-1383
(734) 893-1031
Mailing address
10909 HANNAN RD, ROMULUS, MI 48174-1383
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
5201007237
MI
Other
Enumeration date
06/06/2014
Last updated
06/06/2014
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