Healthcare Provider Details

I. General information

NPI: 1023931235
Provider Name (Legal Business Name): LINDA C HANLIN OT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14470 N HOLLY RD
HOLLY MI
48442-8418
US

IV. Provider business mailing address

1183 BAY RDG
HIGHLAND MI
48356-1105
US

V. Phone/Fax

Practice location:
  • Phone: 248-328-3100
  • Fax:
Mailing address:
  • Phone: 248-762-5732
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number5201002803
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: