Individual
JULIA ANNE BROTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1850 52ND ST SW, WYOMING, MI 49519-9601
(231) 670-5140
Mailing address
1850 52ND ST SW, WYOMING, MI 49519-9601
(231) 670-5140
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4062
CA
224Z00000X
Occupational Therapy Assistant
5202002694
MI
Other
Enumeration date
03/14/2019
Last updated
03/14/2019
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