Provider Demographics
NPI:1518322726
Name:OCAMPO, DANIELLE NICOLE (COTA/L)
Entity Type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:NICOLE
Last Name:OCAMPO
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:MISS
Other - First Name:DANIELLE
Other - Middle Name:NICOLE
Other - Last Name:LANGLOIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:COTA/L
Mailing Address - Street 1:650 LONGFORD DR
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48309-2417
Mailing Address - Country:US
Mailing Address - Phone:248-275-6641
Mailing Address - Fax:
Practice Address - Street 1:650 LONGFORD DR
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48309-2417
Practice Address - Country:US
Practice Address - Phone:248-275-6641
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-15
Last Update Date:2015-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5202007879224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5202007879OtherCOTA/L