Healthcare Provider Details

I. General information

NPI: 1225608714
Provider Name (Legal Business Name): SAJIDA M SAQER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/28/2021
Last Update Date: 06/28/2021
Certification Date: 06/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21700 NORTHWESTERN HWY
SOUTHFIELD MI
48075-4906
US

IV. Provider business mailing address

21700 NORTHWESTERN HWY
SOUTHFIELD MI
48075-4906
US

V. Phone/Fax

Practice location:
  • Phone: 313-600-8434
  • Fax:
Mailing address:
  • Phone: 313-600-8434
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number520200788
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: