Most Relevant Information
Provider Data
| NPI Number: | 1003296898 |
| Provider Name: | MEREDITH NACKLEY MOT, OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225XP0200X |
| Specialty: | Occupational Therapist |
| License Number: | 5201009134 |
Most Important Dates
| Enumeration Date: | 06/05/2015 |
| Last Updated: | 06/05/2015 |
Provider Practice Location
26440 BERG RD
UNIT 1006
SOUTHFIELD
MI
480335394
Practice Location Phone/Fax
| Phone: | 3155349747 |
| Fax: |
Provider Mailing Location
26440 BERG RD
UNIT 1006
SOUTHFIELD
MI
480335394
Provider Mailing Phone/Fax
| Phone: | 3155349747 |
| Fax: |