Individual
MEGAN WOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
1360 PORTER ST LOWR LEVEL1, DEARBORN, MI 48124-2890
(313) 689-5188
Mailing address
1360 PORTER ST LOWR LEVEL1, DEARBORN, MI 48124-2890
(313) 689-5188
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201010335
MI
Other
Enumeration date
03/25/2019
Last updated
03/25/2019
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