Healthcare Provider Details

I. General information

NPI: 1205681830
Provider Name (Legal Business Name): AVA MILAN FLUENT OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2024
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 CORPORATE OFFICE DR
MILFORD MI
48381-5003
US

IV. Provider business mailing address

7555 AMANDA CIR
WASHINGTON MI
48094-3541
US

V. Phone/Fax

Practice location:
  • Phone: 586-438-0282
  • Fax:
Mailing address:
  • Phone: 586-438-0282
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number5201013784
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: