Healthcare Provider Details

I. General information

NPI: 1184492928
Provider Name (Legal Business Name): MAY MOHAMAD DAOUD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/12/2023
Last Update Date: 12/12/2023
Certification Date: 12/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5729 APPOLINE ST
DEARBORN MI
48126-2374
US

IV. Provider business mailing address

5729 APPOLINE ST
DEARBORN MI
48126-2374
US

V. Phone/Fax

Practice location:
  • Phone: 313-595-0000
  • Fax:
Mailing address:
  • Phone: 313-595-0000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: