Mrs. Annetta Hardamon
Occupational Therapist - Physical Rehabilitation
26776 W 12 Mile Rd Ste 101
Southfield
, Michigan 48034-7807
Mrs. Annetta Hardamon
Occupational Therapist - Physical Rehabilitation
26776 W 12 Mile Rd Ste 101
Southfield
, Michigan 48034-7807
(248) 450-3183
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About
Features
Specialties
- Occupational Therapist - Physical Rehabilitation
Languages spoken
- English
Location
First Address
- Mrs. Annetta Hardamon
- 26776 W 12 Mile Rd Ste 101
- Southfield, MI
- Zip : 48034-7807
- Phone : (248) 450-3183
Second Address
- Mrs. Annetta Hardamon
- 26776 W 12 Mile Rd Ste 101
- Southfield, MI
- Zip : 48034-7807
- Phone : (248) 450-3183
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 5201000367 | MI |
National Provider Identifier
| NPI | 1104411040 |
|---|---|
| Provider Name | Mrs. Annetta Hardamon |
| First Address | Southfield, MI 48034-7807 |
| Second Address | Southfield, MI 48034-7807 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/03/2021 |
| Last Update Date | 03/03/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.