Organization
ROOTED POTENTIAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE GILLETTE MS, OTR (OWNER, OCCUPATIONAL THERAPIST)
(989) 600-0794
Entity
Organization
Contact information
Practice address
2621 W WACKERLY ST STE B, MIDLAND, MI 48640-6994
(989) 600-0794
Mailing address
2621 W WACKERLY ST STE B, MIDLAND, MI 48640-6994
(989) 600-0794
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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