Individual
SHARAE SHARESE WAFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.O.T.A
Contact information
Practice address
41215 FOX RUN, NOVI, MI 48377-4803
(248) 668-8730
Mailing address
18682 GARFIELD, REDFORD, MI 48240-1718
(313) 932-3653
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202007187
MI
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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