Healthcare Provider Details

I. General information

NPI: 1760391007
Provider Name (Legal Business Name): HELENE CULLEY GARBER OTL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5810 COMMERCE RD
WEST BLOOMFIELD MI
48324-3200
US

IV. Provider business mailing address

17258 COUNTRY CLUB DR
LIVONIA MI
48152-2970
US

V. Phone/Fax

Practice location:
  • Phone: 248-865-6421
  • Fax:
Mailing address:
  • Phone: 734-968-7421
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number5201004706
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: