Healthcare Provider Details

I. General information

NPI: 1730234923
Provider Name (Legal Business Name): DEBORAH JEAN DAVIS-WORDEN OT, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/25/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2215 FULLER RD
ANN ARBOR MI
48105-2335
US

IV. Provider business mailing address

1928 UPLAND DR
ANN ARBOR MI
48105-2100
US

V. Phone/Fax

Practice location:
  • Phone: 734-255-3038
  • Fax:
Mailing address:
  • Phone: 734-994-0925
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225C00000X
TaxonomyRehabilitation Counselor
License Number6401001835
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number5201000002
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: