Individual
SOPHIA CASANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
25900 GREENFIELD RD STE 100, OAK PARK, MI 48237-1297
(248) 788-4300
Mailing address
21410 TAFT RD, NORTHVILLE, MI 48167-1045
(248) 635-4787
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201013677
MI
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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