IndividualActive
Abdullah Hizam, OTR
NPI 1679227995 · Occupational Therapist · Southfield, MI
Provider details
- NPI number
- 1679227995
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR
- Sex
- Male
- Sole proprietor
- Yes
- License
- 5201012743 (MI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
26645 W 12 Mile Rd Ste 201
Southfield, MI 48034-7812
Phone: (248) 223-4430
Approximate (ZIP-level) locationGet directions
Mailing address
26645 W 12 Mile Rd Ste 201
Southfield, MI 48034-7812
Registry dates
- Enumerated
- 2022-02-06
- Last updated
- 2022-02-06
- Certified
- 2022-02-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.