MEDICARE: ALEFIYA A BHINDERWALA OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	5201006528	MI

General Provider Information

NPI Number	:	1033833355
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEFIYA A BHINDERWALA OTR/L

Provider Business Mailing Address
First Line	:	21053 W GLEN HAVEN CIR
Second Line	:
City	:	NORTHVILLE
State	:	MI
Zip	:	48167-2419
Country	:	US
Telephone Number	:	818-934-5289
Fax Number	:

Provider Business Practice Location Address
First Line	:	30637 W 14 MILE RD
Second Line	:
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48334-1531
Country	:	US
Telephone Number	:	248-983-4780
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2022
Last Update Date	:	09/29/2022

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