Healthcare Provider Details

I. General information

NPI: 1043359581
Provider Name (Legal Business Name): DAWN LOUISE PELINO OTR, CHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/05/2007
Last Update Date: 12/20/2025
Certification Date: 12/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4967 CROOKS RD STE 150
TROY MI
48098-5802
US

IV. Provider business mailing address

33900 HARPER AVE STE 104
CLINTON TWP MI
48035-4258
US

V. Phone/Fax

Practice location:
  • Phone: 248-509-9700
  • Fax: 248-509-9701
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number5201005409
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: