Nicholas Albertson, OTRL

Individual provider Active NPI Gerontology Occupational Therapist · Canton, MI

NPI 1902374523 · NPPES record last updated Nov 13, 2018

Key facts

NPI
1902374523
Entity type
Individual (NPI type 1)
Primary specialty
Gerontology Occupational Therapist 225XG0600X
License
5201009484 (MI)
Practice address
7025 N Lilley Rd
Canton, MI 48187-3533
Phone
(734) 394-3100
NPI assigned
Nov 13, 2018
Sex
Male
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
5201009484MIMDGerontology Occupational Therapist

Interoperability endpoints

  • Direct secure messaging: nalbertson692637@direct.hfhs.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Occupational Therapist 225XG0600X 5201009484 MI Yes

Addresses

Primary practice location

7025 N Lilley Rd
Canton, MI 48187-3533

Mailing address

7025 N Lilley Rd
Canton, MI 48187-3533

Other providers in Canton, MI

All providers in Canton, MI · Gerontology Occupational Therapist in Michigan

Sources for this page

Verify at the official NPI Registry.