Individual
MIKAYLA MARIE ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
38257 MOUND RD # 4, STERLING HEIGHTS, MI 48310-3466
(734) 855-9835
Mailing address
114 EAST CHIPPEWA ST, MOUNT PLEASANT, MI 48858
(734) 855-9835
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
84350
MI
225X00000X
Occupational Therapist
Primary
5201014088
MI
Other
Enumeration date
01/14/2019
Last updated
01/09/2025
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