Provider Demographics
NPI:1598182396
Name:THERAPEUTIC ADVENTURES
Entity Type:Organization
Organization Name:THERAPEUTIC ADVENTURES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPY/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:ARROL
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:248-892-1578
Mailing Address - Street 1:11096 WATERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:DAVISBURG
Mailing Address - State:MI
Mailing Address - Zip Code:48350-3561
Mailing Address - Country:US
Mailing Address - Phone:248-892-1578
Mailing Address - Fax:248-625-9203
Practice Address - Street 1:8896 COMMERCE RD STE 2
Practice Address - Street 2:
Practice Address - City:COMMERCE TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48382-4494
Practice Address - Country:US
Practice Address - Phone:248-892-1578
Practice Address - Fax:248-625-9203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-19
Last Update Date:2022-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1891909412Medicaid