Provider Demographics
NPI:1780856658
Name:DAILEY, SUZANNE MARLENE (OTR/L, CHT)
Entity Type:Individual
Prefix:
First Name:SUZANNE
Middle Name:MARLENE
Last Name:DAILEY
Suffix:
Gender:F
Credentials:OTR/L, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45650 SCHOENHERR RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:SHELBY TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48315-6033
Mailing Address - Country:US
Mailing Address - Phone:586-532-0803
Mailing Address - Fax:586-532-0883
Practice Address - Street 1:45650 SCHOENHERR RD
Practice Address - Street 2:SUITE B
Practice Address - City:SHELBY TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48315-6033
Practice Address - Country:US
Practice Address - Phone:586-532-0803
Practice Address - Fax:586-532-0883
Is Sole Proprietor?:No
Enumeration Date:2008-03-31
Last Update Date:2009-05-29
Deactivation Date:2008-08-06
Deactivation Code:
Reactivation Date:2009-05-29
Provider Licenses
StateLicense IDTaxonomies
MI5201003787225X00000X, 225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand