MS. Mary Alicia Patillo, COTA

NPI #1629349071 in Ecorse, Michigan

Provider Information

NPI Number
1629349071
Entity Type
Individual
Name
MS. Mary Alicia Patillo, COTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapy Assistant
Credential
COTA
Enumeration Date
Jan 17, 2012
Last Updated
Jan 17, 2012

Practice Location

Address
3964 17TH ST
City
Ecorse
ZIP Code
48229-1310
Phone
(313) 467-7000

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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