Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. MARY ALICIA PATILLO, COTA
Active Sole ProprietorMS. MARY ALICIA PATILLO, COTA is a Occupational Therapy Assistant healthcare provider located in ECORSE, Michigan. NPI 1629349071 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · ECORSE, MI
Registration Details
- NPI Number
- 1629349071
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 17, 2012 (14.575789115782 yrs)
- Last Updated
- Jan 17, 2012
- License
-
5202004214 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3964 17TH STECORSE, MI, 482291310Browse MI providers · Browse ZIP 48229
- Phone
- 3134677000
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.