Healthcare Provider Details

I. General information

NPI: 1649181710
Provider Name (Legal Business Name): COLLEEN COTTRELL OTR
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

355 BRIARWOOD CIR
ANN ARBOR MI
48108-1605
US

IV. Provider business mailing address

355 BRIARWOOD CIR
ANN ARBOR MI
48108-1605
US

V. Phone/Fax

Practice location:
  • Phone: 734-936-7070
  • Fax:
Mailing address:
  • Phone: 734-936-7070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XN1300X
TaxonomyNeurorehabilitation Occupational Therapist
License Number537569
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: