Provider Demographics
NPI:1891909412
Name:ARROL, BRIAN WILLIAM (OTL)
Entity Type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:WILLIAM
Last Name:ARROL
Suffix:
Gender:M
Credentials:OTL
Other - Prefix:MR
Other - First Name:BRIAN
Other - Middle Name:WILLIAM
Other - Last Name:ARROL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OTL
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 1:11096 WATERSIDE DR
Practice Address - Street 2:
Practice Address - City:DAVISBURG
Practice Address - State:MI
Practice Address - Zip Code:48350-3561
Practice Address - Country:US
Practice Address - Phone:248-625-9203
Practice Address - Fax:248-625-9203
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5201001520225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics