Individual
MARY THERESA IOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
355 BRIARWOOD CIR BLDG 4, ANN ARBOR, MI 48108-1605
(734) 998-7888
Mailing address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009840
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003878539
—
MI
Enumeration date
03/14/2018
Last updated
03/14/2018
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