Individual
PATTI ANN KANOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
22731 NEWMAN ST STE 100B, DEARBORN, MI 48124-2023
(313) 791-0616
(313) 791-0632
Mailing address
562 GARFIELD AVE, LINCOLN PARK, MI 48146-2810
(734) 672-0471
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201012772
MI
Other
Enumeration date
01/27/2022
Last updated
03/26/2026
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