Individual
SAMANTHA VERMILLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
29800 HOOVER RD, WARREN, MI 48093-8918
(586) 574-3444
Mailing address
29322 ROSEBRIAR ST, SAINT CLAIR SHORES, MI 48081-3038
(586) 524-7153
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202007943
MI
Other
Enumeration date
01/27/2023
Last updated
01/27/2023
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