Individual provider · Type 1 NPI

Mackenzie R. Mousouleas, OTR/L

Occupational Therapist · Woodhaven, MI

NPI number 1679110480 Active

Practice location

21267 Mayfair St
Woodhaven, MI 48183-1609

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XNone listed

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 1679110480

Mackenzie R. Mousouleas, OTR/L's National Provider Identifier is 1679110480, issued on Dec 1, 2019. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Woodhaven, MI. The record was last updated on Dec 1, 2019.