Candace Peterson, MS, OTRL - Occupational Therapist in Plymouth, MI

Candace Peterson, MS, OTRL is a Occupational Therapist - Pediatrics based in Plymouth, Michigan. Candace Peterson is licensed to practice in Michigan (license number 5201008338) and her current practice location is 14969 Farmbrook Dr, Plymouth, Michigan. She can be reached at her office (for appointments etc.) via phone at (616) 308-0719.

NPI number for Candace Peterson is 1124421771 and her current mailing address is 39300 W 12 Mile Rd Ste 105, Farmington Hills, Michigan. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124421771.

Contact Information

Candace Peterson, MS, OTRL
14969 Farmbrook Dr,
Plymouth, MI 48170-2745
(616) 308-0719
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameCandace Peterson
GenderFemale
SpecialityOccupational Therapist - Pediatrics
Location14969 Farmbrook Dr, Plymouth, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1124421771
  • Provider Enumeration Date: 09/26/2014
  • Last Update Date: 06/30/2026

Medical Identifiers

Medical identifiers for Candace Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124421771NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225XP0200XOccupational Therapist - Pediatrics 5201008338 (Michigan)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Candace Peterson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Candace Peterson, MS, OTRL
39300 W 12 Mile Rd Ste 105,
Farmington Hills, MI 48331-3140

Ph: (248) 719-7002
Candace Peterson, MS, OTRL
14969 Farmbrook Dr,
Plymouth, MI 48170-2745

Ph: (616) 308-0719

Reviews and Comments


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