Individual provider · Type 1 NPI

Theresa Southworth

Occupational Therapist · Plymouth, MI

NPI number 1609433119 Active

Practice location

851 Penniman Ave
Plymouth, MI 48170-1621

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X5201001025 (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 1609433119

Theresa Southworth's National Provider Identifier is 1609433119, issued on May 21, 2019. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Plymouth, MI. The record was last updated on May 21, 2019.