| Doctor Name: | MS. JOANN KOCHEVAR DELISLE |
| NPI Number: | 1336212901 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | OTR,CHT |
| License Number: | 5201000758 |
| Business Practice Address: | 26336 E. Huron River Dr. Flat Rock, MI - 481341833 |
| Business Phone Number: | 7347898281 |
| Business Fax Number: | 7347898258 |
| Mailing Address: | 26336 E. Huron River Dr., Suite A FLAT ROCK |
| State: | MI |
| Postal Code: | 481341833 |
| Phone Number: | 7347898281 |
| Fax Number: | 7347898258 |
| NPI Enumeration Date: | 11/15/2006 |
| NPI Last Update Date: | 11/15/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225XH1200X |
| License Number: | 5201000758 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Occupational Therapist |
| Taxonomy Specialization: | Hand |
| Taxonomy Definition: | |