OrganizationActive
Therapeutically Designed Inc.
NPI 1497029227 · Early Intervention Provider Agency · Southfield, MI
Provider details
- NPI number
- 1497029227
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Karen Tibbs, Occupational Therapist(248) 789-0232
Specialties & taxonomies
Agencies
- Local Education Agency (LEA)251300000X
Agencies
- Voluntary or Charitable Agency251V00000X
Agencies
- Early Intervention Provider Agency252Y00000X
Agencies
- Foster Care Agency253J00000X
Agencies
Residential Treatment Facilities
- Customized Equipment (DME)332BC3200X
Practice location
19785 W 12 Mile Rd # 287
Southfield, MI 48076-2584
Phone: (248) 789-0232
Approximate (ZIP-level) locationGet directions
Mailing address
19785 W 12 Mile Rd # 287
Southfield, MI 48076-2584
Registry dates
- Enumerated
- 2012-02-24
- Last updated
- 2012-02-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.