Provider Demographics
NPI:1770569089
Name:BARMAN, SUJATA (OTR)
Entity type:Individual
Prefix:MRS
First Name:SUJATA
Middle Name:
Last Name:BARMAN
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5797 FELSKE DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48116-9505
Mailing Address - Country:US
Mailing Address - Phone:810-231-6454
Mailing Address - Fax:810-299-5112
Practice Address - Street 1:5797 FELSKE DR
Practice Address - Street 2:SUITE 200
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48116-9505
Practice Address - Country:US
Practice Address - Phone:810-231-6454
Practice Address - Fax:810-299-5112
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5201003503225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist