Individual provider · Type 1 NPI
Dustin Kyle Dettloff, OTR/L
Occupational Therapist · Wyoming, MI
Practice location
5838 Metro Way SW
Wyoming, MI 49519-9619
Mailing address
8081 Kenwick Dr
White Lake, MI 48386-4325
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist Primary | 225X00000X | 5201009620 (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 1710447305
Dustin Kyle Dettloff, OTR/L's National Provider Identifier is 1710447305, issued on Mar 21, 2019. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Wyoming, MI. The record was last updated on Mar 21, 2019.