Healthcare Provider Details

I. General information

NPI: 1861312373
Provider Name (Legal Business Name): TABITHA LYN FINLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6389 CLARKSTON RD
CLARKSTON MI
48346-1613
US

IV. Provider business mailing address

825 PINE RIDGE AVE
OXFORD MI
48371-3597
US

V. Phone/Fax

Practice location:
  • Phone: 248-623-5408
  • Fax:
Mailing address:
  • Phone: 248-506-4292
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number5201003379
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: