Most Relevant Information
Provider Data
| NPI Number: | 1003528126 |
| Provider Name: | SAVANNAH BOLOTTA |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 5202009995 |
Most Important Dates
| Enumeration Date: | 12/20/2022 |
| Last Updated: | 12/20/2022 |
Provider Practice Location
210 TOWN CENTER DR
TROY
MI
480841774
Practice Location Phone/Fax
| Phone: | 8668128896 |
| Fax: |
Provider Mailing Location
1949 JONATHAN CIR
SHELBY TOWNSHIP
MI
483173821
Provider Mailing Phone/Fax
| Phone: | 5865319599 |
| Fax: |