Provider Demographics
NPI:1871083923
Name:SARKAR, MONICA (OTR/L)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:SARKAR
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23600 NORTHLINE RD
Mailing Address - Street 2:
Mailing Address - City:TAYLOR
Mailing Address - State:MI
Mailing Address - Zip Code:48180-4620
Mailing Address - Country:US
Mailing Address - Phone:734-287-8580
Mailing Address - Fax:734-287-2840
Practice Address - Street 1:23600 NORTHLINE RD
Practice Address - Street 2:
Practice Address - City:TAYLOR
Practice Address - State:MI
Practice Address - Zip Code:48180-4620
Practice Address - Country:US
Practice Address - Phone:734-287-8580
Practice Address - Fax:734-287-2840
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-15
Last Update Date:2018-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5201008848225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist