Mackenzie R Mousouleas, OTR/L
Occupational Therapist in Woodhaven, MI. Individual provider (NPI-1).
NPI number1679110480
StatusActive
Last updated in NPPESDec 1, 2019
Details
- NPI
- 1679110480
- Entity type
- Individual (NPI-1)
- Name
- Mackenzie R Mousouleas
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 1, 2019
- Last updated
- Dec 1, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | – | – | Yes |
Practice location
21267 Mayfair StWoodhaven, MI 48183-1609
Phone 734-672-2933
Mailing address
21267 Mayfair StWoodhaven, MI 48183-1609
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Other Occupational Therapist providers in Woodhaven, MI
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- Judith Lynn Briggs, OTRNPI 1417490350
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- Maddison Maree MennaNPI 1669118162
- Sarah Elizabeth Miller, OTRNPI 1821710450
- Erika N Saunders, OTNPI 1679107452
All 7 Occupational Therapist providers in Woodhaven · All 287 providers in Woodhaven
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