Individual provider · Type 1 NPI

Dustin Kyle Dettloff, OTR/L

Occupational Therapist · Wyoming, MI

NPI number 1710447305 Active

Practice location

5838 Metro Way SW
Wyoming, MI 49519-9619

Mailing address

8081 Kenwick Dr
White Lake, MI 48386-4325

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X5201009620 (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.