Outside Ot L.l.c.

NPI #1649878588 in Ray, Michigan

Provider Information

NPI Number: 1649878588
Entity Type: Organization
Organization Name: Outside Ot L.l.c.
Primary Specialty: Occupational Therapist
Enumeration Date: Oct 13, 2020
Last Updated: Oct 13, 2020

Practice Location

Address: 63999 INDIAN TRL
City: Ray
State: Michigan
ZIP Code: 48096-2516
Phone: (313) 438-8816

Authorized Official

Name: NICOLE GORDON, OTR/L
Title: OWNER AND OCCUPATIONAL THERAPIST
Phone: (313) 438-8816

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

Additional Practice Locations

33662 James J Pompo Dr

Fraser, MI, 48026-3466

(313) 438-8816

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