Healthcare Provider Details

I. General information

NPI: 1699606897
Provider Name (Legal Business Name): ALI MEZHER OTR/L
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7400 NECKEL ST
DEARBORN MI
48126-1411
US

IV. Provider business mailing address

7400 NECKEL ST
DEARBORN MI
48126-1411
US

V. Phone/Fax

Practice location:
  • Phone: 313-888-4422
  • Fax:
Mailing address:
  • Phone: 313-888-4422
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number5201014653
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: