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Individual

SONIA ANN SULTANA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
19701 VERNIER RD, SUITE 280, HARPER WOODS, MI 48225-1467
(313) 884-8920
Mailing address
15138 DASHER AVE, ALLEN PARK, MI 48101-2620

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201006040
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1942248422
GROUP NPI
MI
01
67-0-H230940
BCBS
MI
Enumeration date
07/24/2006
Last updated
07/24/2008
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