Individual
SANDRA LORRAINE ROSELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
34505 W 12 MILE RD, FARMINGTON HILLS, MI 48331-3258
(734) 343-7500
Mailing address
3350 CEMETERY RD, FOWLERVILLE, MI 48836-9537
(517) 294-2542
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201001277
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508823774
—
MI
Enumeration date
12/06/2018
Last updated
12/06/2018
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