Unknown Individual – Pediatric Occupational Therapist, NPI 1962058545
Pediatric Occupational Therapist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
1200 MARTIN LUTHER KING JR BLVD # A
DETROIT, MI 482012478
Phone: (313) 854-1189
Type: Location
25999, Franklin Pointe Drive, Southfield, Oakland County, Michigan, 48034, United States
SOUTHFIELD, MI 480341567
Phone: (313) 854-1189
Type: Location
1003 Leland St
Detroit, MI 482074707
Phone: (313) 854-1180
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48201)
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