Individual
ELIZABETH ROSE DORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1222 NORTH DR, MOUNT PLEASANT, MI 48858-3200
(989) 772-2957
Mailing address
1721 ROSSMAN AVE SE, GRAND RAPIDS, MI 49507-2243
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202008533
MI
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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