Individual
MRS. CAROL BETH BATOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
9368 N LILLEY RD, PLYMOUTH, MI 48170-4610
(734) 416-3900
(734) 453-2118
Mailing address
9368 N LILLEY RD, PLYMOUTH, MI 48170-4610
(734) 416-3900
(734) 453-2118
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201000853
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0N45090
MEDICARE GRP PIN
MI
05
—
1518135615
—
MI
01
—
CB0923
GROUP RR MEDICARE PIN
MI
Enumeration date
02/12/2008
Last updated
07/02/2021
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