Basic Information
| Provider Information | |||||||||
| NPI: | 1336604685 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | RAPELJE | ||||||||
| FirstName: | MARIA | ||||||||
| MiddleName: | BONA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 29178 PERTH ST | ||||||||
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| City: | LIVONIA | ||||||||
| State: | MI | ||||||||
| PostalCode: | 481544561 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2487902751 | ||||||||
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| Practice Location | |||||||||
| Address1: | 8365 N NEWBURGH RD | ||||||||
| Address2: | |||||||||
| City: | WESTLAND | ||||||||
| State: | MI | ||||||||
| PostalCode: | 481851149 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7344162000 | ||||||||
| FaxNumber: | 7344593050 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/31/2019 | ||||||||
| LastUpdateDate: | 01/31/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | 5201007304 | MI | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.