Provider Demographics
NPI:1437859824
Name:ABRAHAM, KARLI JOY
Entity Type:Individual
Prefix:MRS
First Name:KARLI
Middle Name:JOY
Last Name:ABRAHAM
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:KARLI
Other - Middle Name:JOY
Other - Last Name:SUGG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7301 WILDERNESS PARK DR APT 102
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48185-5970
Mailing Address - Country:US
Mailing Address - Phone:248-996-2407
Mailing Address - Fax:
Practice Address - Street 1:2215 FULLER RD
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105-2303
Practice Address - Country:US
Practice Address - Phone:734-769-7100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-06
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5202008654224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant