Individual
TAYLOR NICOLE MAHRLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTAL
Contact information
Practice address
2416 COMMON RD, WARREN, MI 48092-2100
(586) 436-0297
Mailing address
2416 COMMON RD, WARREN, MI 48092-2100
(586) 436-0297
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202008159
MI
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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