Individual
MRS. MARI SHARP ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
833 WOODLAWN DRIVE, COLUMBIAVILLE, MI 48421
(810) 793-1819
Mailing address
833 WOODLAWN DRIVE, COLUMBIAVILLE, MI 48421
(810) 793-1819
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
1041682
MI
224Z00000X
Occupational Therapy Assistant
Primary
5202006119
MI
Other
Enumeration date
11/22/2011
Last updated
11/22/2011
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