Provider Demographics
NPI:1659680668
Name:ROHROFF, KATHARINE ANN (COTA)
Entity Type:Individual
Prefix:MRS
First Name:KATHARINE
Middle Name:ANN
Last Name:ROHROFF
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:MRS
Other - First Name:KATHARINE
Other - Middle Name:ANN
Other - Last Name:ROHROFF
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:COTA
Mailing Address - Street 1:13712 TRENTON RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHGATE
Mailing Address - State:MI
Mailing Address - Zip Code:48195-1828
Mailing Address - Country:US
Mailing Address - Phone:734-284-1574
Mailing Address - Fax:734-284-1574
Practice Address - Street 1:13712 TRENTON RD
Practice Address - Street 2:
Practice Address - City:SOUTHGATE
Practice Address - State:MI
Practice Address - Zip Code:48195-1828
Practice Address - Country:US
Practice Address - Phone:734-284-1574
Practice Address - Fax:734-284-1574
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-26
Last Update Date:2010-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIL1571023224Z00000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant
No251E00000XAgenciesHome Health