Individual
MS. JEANNIE D BROTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
610 W ELM AVE, MONROE, MI 48162-7909
(734) 240-9670
Mailing address
31704 HAZEL ST, ROCKWOOD, MI 48173-1004
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202006811
MI
Other
Enumeration date
12/28/2007
Last updated
12/28/2007
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