Healthcare Provider Details

I. General information

NPI: 1972490712
Provider Name (Legal Business Name): HAND ORTHOPEDIC MANAGEMENT AND EDUCATION PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2025
Last Update Date: 09/04/2025
Certification Date: 09/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 ROSE DR
ANN ARBOR MI
48103-2102
US

IV. Provider business mailing address

701 ROSE DR
ANN ARBOR MI
48103-2102
US

V. Phone/Fax

Practice location:
  • Phone: 734-395-9466
  • Fax:
Mailing address:
  • Phone: 734-395-9466
  • Fax: 888-421-8730

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: DARREN GUSTITUS
Title or Position: OWNER/CLINICIAN
Credential: OTR/L
Phone: 734-395-9466