Healthcare Provider Details

I. General information

NPI: 1871401075
Provider Name (Legal Business Name): MARY LOUISE SLINGERLAND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2026
Last Update Date: 08/29/2026
Certification Date: 08/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

775 W DRAHNER RD
OXFORD MI
48371-4866
US

IV. Provider business mailing address

3648 EDINBOROUGH DR
ROCHESTER HILLS MI
48306-3632
US

V. Phone/Fax

Practice location:
  • Phone: 248-969-5000
  • Fax:
Mailing address:
  • Phone: 248-310-8736
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number5201002772
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: