IndividualActive
Annetta Hardamon, OT
NPI 1104411040 · Physical Rehabilitation Occupational Therapist · Southfield, MI
Provider details
- NPI number
- 1104411040
- Entity type
- Individual
- Primary specialty
- Physical Rehabilitation Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OT
- Sex
- Female
- Sole proprietor
- No
- License
- 5201000367 (MI)
Practice location
26776 W 12 Mile Rd Ste 101
Southfield, MI 48034-7807
Phone: (248) 450-3183
Mailing address
26776 W 12 Mile Rd Ste 101
Southfield, MI 48034-7807
Registry dates
- Enumerated
- 2021-03-03
- Last updated
- 2021-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.