Huda Kazak

Individual provider Active NPI Occupational Therapist · Franklin, MI

NPI 1639775406 · NPPES record last updated Dec 8, 2020

Key facts

NPI
1639775406
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
Practice address
32751 Franklin Rd
Franklin, MI 48025-1113
Phone
(248) 824-0004
NPI assigned
Dec 8, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Occupational Therapist in Private Practice
Education
Wayne State University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holistic Health Institute LC (2 clinicians)

Practice addresses (Care Compare)

26877 Northwestern Hwy
Suite 302
Southfield, MI 48033-8417
Phone (248) 731-9087

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20210202000746 MI Practitioner - Occupational Therapist in Private Practice 9537573647 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Health Institute LC Current
since Dec 1, 2020
Accepting new patients

Locations

32751 Franklin Rd
Ste 2
Franklin, MI 48025
Phone (248) 971-1410

32751 Franklin Rd
Franklin, MI 48025
Phone (248) 709-2703

26877 Northwestern Hwy
Ste 302
Southfield, MI 48033

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Yes

Addresses

Primary practice location

32751 Franklin Rd
Franklin, MI 48025-1113

Mailing address

1674 W Square Lake Rd
Bloomfield Hills, MI 48302-0742

Other providers in Franklin, MI

All providers in Franklin, MI · Occupational Therapist in Michigan

Sources for this page

Verify at the official NPI Registry.