Individual
PARISA K ANAHID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-5000
Mailing address
12925 CASTLE ST, SOUTHGATE, MI 48195-1126
(614) 271-4104
Taxonomy
Speciality
Code
Description
License number
State
224ZF0002X
Feeding, Eating & Swallowing Occupational Therapy Assistant
5201008875
MI
225X00000X
Occupational Therapist
Primary
5201008875
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/03/2013
Last updated
06/02/2021
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