Provider Demographics
NPI:1851756936
Name:STEFFEN, ANDREA ALLEVATO (OTRL)
Entity Type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:ALLEVATO
Last Name:STEFFEN
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23305 FAIRWAY DR
Mailing Address - Street 2:
Mailing Address - City:GROSSE ILE
Mailing Address - State:MI
Mailing Address - Zip Code:48138-2164
Mailing Address - Country:US
Mailing Address - Phone:734-624-2640
Mailing Address - Fax:
Practice Address - Street 1:18161 W 13 MILE RD SUITE B4
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48076-2417
Practice Address - Country:US
Practice Address - Phone:313-745-5636
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-16
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225X00000X
MI5201008007225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist