IndividualActive
Al Dg Grande, OTRL
NPI 1093064941 · Occupational Therapist · Wyandotte, MI
Provider details
- NPI number
- 1093064941
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTRL
- Sex
- Male
- Sole proprietor
- No
- License
- 5201008599 (MI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2333 Biddle Ave
Wyandotte, MI 48192
Phone: (734) 246-7732
Approximate (ZIP-level) locationGet directions
Mailing address
28053 Weddel Ave
Brownstown Twp, MI 48183-4841
Registry dates
- Enumerated
- 2012-09-06
- Last updated
- 2018-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.