Individual
MARY ARCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
41850 W 11 MILE RD STE 110, NOVI, MI 48375-1857
(248) 719-7002
Mailing address
41850 W 11 MILE RD STE 110, NOVI, MI 48375-1857
(248) 719-7002
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5201009471
MI
Other
Enumeration date
04/21/2016
Last updated
05/12/2023
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