MR. Rollin Desean Fowlkes JR., OTRL

NPI #1619347085 in Wayne, Michigan

Provider Information

NPI Number: 1619347085
Entity Type: Individual
Name: MR. Rollin Desean Fowlkes JR., OTRL
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OTRL
Enumeration Date: Sep 29, 2015
Last Updated: Apr 13, 2016

Practice Location

Address: 34330 VAN BORN RD
City: Wayne
State: Michigan
ZIP Code: 48184-2472
Phone: (313) 287-0057

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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