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Organization
A1 OCCUPATIONAL THERAPY LLC
Active
Organization
A1 OCCUPATIONAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELYN LUCIDO OTRL (OCCUPATIONAL THERAPIST)
(586) 540-7193
Entity
Organization
Contact information
Practice address
23265 NORTHWESTERN HWY STE 200, SOUTHFIELD, MI 48075-7707
(248) 996-9428
Mailing address
23265 NORTHWESTERN HWY STE 200, SOUTHFIELD, MI 48075-7707
(248) 996-9428
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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