IndividualActive
Candace Peterson, MS, OTRL
NPI 1124421771 · Pediatric Occupational Therapist · Novi, MI
Provider details
- NPI number
- 1124421771
- Entity type
- Individual
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MS, OTRL
- Sex
- Female
- Sole proprietor
- No
- License
- 5201008338 (MI)
Practice location
41850 W 11 Mile Rd Ste 110
Novi, MI 48375-1857
Phone: (248) 719-7002
Mailing address
41850 W 11 Mile Rd Ste 110
Novi, MI 48375-1857
Registry dates
- Enumerated
- 2014-09-26
- Last updated
- 2022-09-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.