Individual
NYLA PERACHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
18101 OAKWOOD BLVD, DEARBORN, MI 48124-4089
(313) 593-7760
Mailing address
19185 RED OAK LN, BROWNSTOWN, MI 48193-8804
(734) 301-0039
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201010770
MI
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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