Individual
LAUREN MICHELLE KOTTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-0157
Mailing address
39765 SPITZ DR, STERLING HEIGHTS, MI 48313-4979
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201007343
MI
Other
Enumeration date
03/08/2018
Last updated
03/08/2018
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