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General NPI Number Information
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NPI Number | 1649862368
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Entity Type | Organization
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Legal Business Name | MICHIGAN PEDIATRIC THERAPY PLC
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Dates
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Enumeration Date | 02/04/2021
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 27655 MIDDLEBELT RD STE 130
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-5029
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Country | US
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Telephone | 248-939-4030
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Fax |
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Provider Business Mailing Address
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Address Line | 27655 MIDDLEBELT RD STE 130
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-5029
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Country | US
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Telephone | 248-939-4030
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Fax | 248-939-4698
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Authorized Official
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Title or Position | DIRECTOR
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Name | MAGDA GIRAO
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Credential | OTR
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Telephone | 248-939-4030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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