Organization
O.T. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER SOPKA OTR (PRESIDENT)
(810) 730-0783
Entity
Organization
Contact information
Practice address
2180 WESTERN MEADOWS DR, FLUSHING, MI 48433-9447
(810) 487-1526
(810) 487-1529
Mailing address
2180 WESTERN MEADOWS DR, FLUSHING, MI 48433-9447
(810) 487-1526
(810) 487-1529
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
5201003930
MI
Other
Enumeration date
07/23/2008
Last updated
07/23/2008
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