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Mary Archer, MS, OTR/L

Occupational Therapist, Pediatrics in Novi, MI. Individual provider (NPI-1).

NPI number1114371663
StatusActive
Last updated in NPPESMay 12, 2023

Details

NPI
1114371663
Entity type
Individual (NPI-1)
Name
Mary Archer
Credential
MS, OTR/L
Sex
Female
Sole proprietor
No
Enumeration date
Apr 21, 2016
Certification date
May 12, 2023
Last updated
May 12, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225XP0200X Occupational Therapist, Pediatrics5201009471MIYes

Practice location

41850 W 11 Mile Rd Ste 110
Novi, MI 48375-1857

Phone 248-719-7002

Mailing address

41850 W 11 Mile Rd Ste 110
Novi, MI 48375-1857

Phone 248-719-7002

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