Organization
THERAPEUTIC ADVANTAGE LLC
Active
Organization
THERAPEUTIC ADVANTAGE LLC
Active
Other names
The Therapy SPOT
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA RAVINEALA OTRL (OCCUPATIONAL THERAPIST)
(616) 890-6997
Entity
Organization
Contact information
Practice address
27555 FARMINGTON RD STE 125, FARMINGTON HILLS, MI 48334-3376
(248) 893-6192
Mailing address
27555 FARMINGTON RD STE 125, FARMINGTON HILLS, MI 48334-3376
(248) 893-6192
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5201008046
MI
Other
Enumeration date
06/16/2014
Last updated
08/13/2025
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