Individual
COLLEEN MARIE PASCOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
6300 SASHABAW RD STE D, CLARKSTON, MI 48346-2269
(248) 515-5339
(248) 573-0247
Mailing address
6300 SASHABAW RD STE D, CLARKSTON, MI 48346-2269
(248) 515-5339
(248) 573-0247
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201000998
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
383683108
COMMERCIAL
MI
Enumeration date
11/13/2006
Last updated
07/21/2022
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