Provider Demographics
NPI:1578867560
Name:AKRAM, MARIANA ZOHRA
Entity Type:Individual
Prefix:
First Name:MARIANA
Middle Name:ZOHRA
Last Name:AKRAM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33341 DEQUINDRE RD
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48083-4630
Mailing Address - Country:US
Mailing Address - Phone:586-781-2201
Mailing Address - Fax:888-383-7350
Practice Address - Street 1:33341 DEQUINDRE RD
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48083-4630
Practice Address - Country:US
Practice Address - Phone:586-781-2201
Practice Address - Fax:888-383-7350
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-05
Last Update Date:2011-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5201000184225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist