Karen Agresta, OTRL

Individual provider Active NPI Occupational Therapist · Royal Oak, MI

NPI 1730684309 · NPPES record last updated Mar 27, 2018

Key facts

NPI
1730684309
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
5201002923 (MI)
Practice address
4949 Coolidge Hwy
Royal Oak, MI 48073-1026
Phone
(248) 655-5736
NPI assigned
Mar 27, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
5201002923MIMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5201002923 MI Yes

Addresses

Primary practice location

4949 Coolidge Hwy
Royal Oak, MI 48073-1026

Mailing address

4949 Coolidge Hwy
Royal Oak, MI 48073-1026

Other providers in Royal Oak, MI

All providers in Royal Oak, MI · Occupational Therapist in Michigan

Sources for this page

Verify at the official NPI Registry.