Individual provider · Type 1 NPI

Al DG Mandeoya Grande, OTRL

Occupational Therapist · Wyandotte, MI

NPI number 1093064941 Active

Practice location

2333 Biddle Ave
Wyandotte, MI 48192

Call (734) 246-7732 Map

Mailing address

28053 Weddel Ave
Brownstown Township, MI 48183-4841

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X5201008599 (MI)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1093064941

Al DG Mandeoya Grande, OTRL's National Provider Identifier is 1093064941, issued on Sep 6, 2012. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Wyandotte, MI. The record was last updated on Jun 27, 2018.