Provider Demographics
NPI:1780900290
Name:MORRIS-SHAPIRO, ADRIENNE
Entity type:Individual
Prefix:MS
First Name:ADRIENNE
Middle Name:
Last Name:MORRIS-SHAPIRO
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:ADRIENNE
Other - Middle Name:
Other - Last Name:SHAPIRO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OTR/L
Mailing Address - Street 1:2448 NIXON RD
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-3438
Mailing Address - Country:US
Mailing Address - Phone:734-302-7923
Mailing Address - Fax:
Practice Address - Street 1:2865 S MAIN ST
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-6964
Practice Address - Country:US
Practice Address - Phone:734-669-3030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-09
Last Update Date:2010-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5201005339225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist