Individual
MRS. ELEANOR GALIT ROOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
812 S GARFIELD AVE, SUITE 1, TRAVERSE CITY, MI 49686-3456
(231) 421-9201
Mailing address
812 S GARFIELD AVE, SUITE 1, TRAVERSE CITY, MI 49686-3456
(231) 421-9201
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009660
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5201009660
STATE OCCUPATIONAL THERAPY LICENSE
MI
Enumeration date
10/27/2016
Last updated
10/27/2016
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