NPI 1134676919
Gwendolyn Parks, COTAL
Practice location
- Address
- 20940 Indian Creek Dr, Farmington Hills, MI 48335-5507
- Phone
- (313) 608-9974
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1134676919
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 8 Sep 2016
- Record last updated
- 8 Sep 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.