Healthcare Provider Details

I. General information

NPI: 1023913183
Provider Name (Legal Business Name): CLAUDINA RONCOLI MOT, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2946 SUTTON RD
ADRIAN MI
49221-8301
US

IV. Provider business mailing address

PO BOX 262
MANCHESTER MI
48158-0262
US

V. Phone/Fax

Practice location:
  • Phone: 517-263-8931
  • Fax: 517-263-2890
Mailing address:
  • Phone: 517-263-8931
  • Fax: 517-263-2890

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: