Healthcare Provider Details

I. General information

NPI: 1023465457
Provider Name (Legal Business Name): REBEKAH ANN MOHNEY MOT, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2016
Last Update Date: 05/16/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3135 PROFESSIONAL DR
ANN ARBOR MI
48104-5131
US

IV. Provider business mailing address

3135 PROFESSIONAL DR
ANN ARBOR MI
48104-5131
US

V. Phone/Fax

Practice location:
  • Phone: 734-677-4600
  • Fax: 734-677-5848
Mailing address:
  • Phone: 734-677-4600
  • Fax: 734-677-5848

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number5201009485
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code225XN1300X
TaxonomyNeurorehabilitation Occupational Therapist
License Number5201009485
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: