Healthcare Provider Details

I. General information

NPI: 1316233166
Provider Name (Legal Business Name): JANE MARIE SAUVIE OTRL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2011
Last Update Date: 06/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3645 HERMANSAU DR
SAGINAW MI
48603-2521
US

IV. Provider business mailing address

3645 HERMANSAU DR
SAGINAW MI
48603-2521
US

V. Phone/Fax

Practice location:
  • Phone: 989-992-7693
  • Fax: 989-753-2045
Mailing address:
  • Phone: 989-992-7693
  • Fax: 989-753-2045

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number5201003931
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code225XN1300X
TaxonomyNeurorehabilitation Occupational Therapist
License Number5316
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: