Most Relevant Information
Provider Data
| NPI Number: | 1003662644 |
| Provider Name: | MADISON SOKOL MOT |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 5201013830 |
Most Important Dates
| Enumeration Date: | 04/25/2024 |
| Last Updated: | 04/25/2024 |
Provider Practice Location
6777 W MAPLE RD
WEST BLOOMFIELD
MI
48322
Practice Location Phone/Fax
| Phone: | 2483253113 |
| Fax: |
Provider Mailing Location
2907 GREENBROOKE LN
WEST BLOOMFIELD
MI
483244788
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |