Individual
ARCHANA SHIRISHKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
26699 W 12 MILE RD, STE 202, SOUTHFIELD, MI 48034-1578
(242) 353-3260
(248) 353-3275
Mailing address
38004 FRINGE DR, STERLING HEIGHTS, MI 48310-3053
(248) 353-3260
(248) 353-3275
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201001865
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5201001865
OCCUPATIONAL THERAPY LICE
MI
01
—
670F302750
BCBSM
MI
Enumeration date
12/22/2006
Last updated
12/21/2010
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