Individual provider · Type 1 NPI

Nicholas Angelo Polydoras, OTR

Occupational Therapist · Livonia, MI

NPI number 1659568129 Active

Practice location

29510 7 Mile Rd
Livonia, MI 48152-1910

Fax (248) 427-9528

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X5201005125 (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 1659568129

Nicholas Angelo Polydoras, OTR's National Provider Identifier is 1659568129, issued on Sep 28, 2007. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Livonia, MI. The record was last updated on Sep 28, 2007.