Organization
THERAPEUTICALLY DESIGNED INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN PIERCE TIBBS ORT/L (OCCUPATIONAL THERAPIST)
(248) 789-0232
Entity
Organization
Contact information
Practice address
19785 W 12 MILE RD # 287, SOUTHFIELD, MI 48076-2584
(248) 789-0232
Mailing address
19785 W 12 MILE RD # 287, SOUTHFIELD, MI 48076-2584
(248) 789-0232
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
—
—
251V00000X
Voluntary or Charitable Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
5201002048
MI
252Y00000X
Early Intervention Provider Agency
—
—
253J00000X
Foster Care Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
02/24/2012
Last updated
02/26/2012
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