Individual
GRACE NJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23901 LAHSER RD, SOUTHFIELD, MI 48033-6035
(248) 357-3360
Mailing address
27321 NANTUCKET DR, SOUTHFIELD, MI 48076-4871
(313) 952-5502
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202007192
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5202007192
OCCUPATIONAL THERAPY ASSISTANT
MI
Enumeration date
02/03/2018
Last updated
02/03/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us