Provider Demographics
NPI:1023177474
Name:BOHRA, SAKINA (OT)
Entity type:Individual
Prefix:MRS
First Name:SAKINA
Middle Name:
Last Name:BOHRA
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20319 FARMINGTON RD BLDG E
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-1411
Mailing Address - Country:US
Mailing Address - Phone:248-476-8911
Mailing Address - Fax:248-476-8913
Practice Address - Street 1:20319 FARMINGTON RD BLDG E
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-1411
Practice Address - Country:US
Practice Address - Phone:248-476-8911
Practice Address - Fax:248-476-8913
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2013-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5201000980225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI383606482OtherINSPIRATIONS REHAB TAX ID
MI1952498180OtherALTERNATIVE REHAB GROUP NPI
MI670H200230OtherBCBS INDIVIDUAL PIN
MI383454355OtherALTERNATIVE REHAB TAX ID
MI1831461201OtherINSPIRATIONS REHAB NPI
MI383454355OtherALTERNATIVE REHAB TAX ID
MIP22240001Medicare PIN