Organization
OT OF MICHIGAN INC,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIAN KOMA (OWNER)
(248) 234-8617
Entity
Organization
Contact information
Practice address
1120 E LONG LAKE RD STE 101, TROY, MI 48085-4974
(248) 234-8617
(248) 928-0463
Mailing address
1120 E LONG LAKE RD STE 101, TROY, MI 48085-4974
(248) 234-8617
(248) 928-0463
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
10/12/2023
Last updated
11/02/2023
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