Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Candace Peterson, MS, OTRL

Individual provider Pediatric Occupational Therapist · NPI 1124421771

Candace Peterson, MS, OTRL is a Pediatric Occupational Therapist in Plymouth, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2014
What do these letters mean?
MS — Master of Science
A graduate science degree.

See every abbreviation used in this directory →

Practice location Address checks out

14969 Farmbrook Dr
Plymouth, MI 48170-2745
Phone: (616) 308-0719
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 39300 W 12 Mile Rd Ste 105, Farmington Hills, MI 48331-3140 — (616) 308-0719

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 5201008338 (MI)

Record details

NPI number1124421771
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , OTRL
Sole proprietorNo
NPI enumeratedSeptember 26, 2014
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026
Mailing address39300 W 12 Mile Rd Ste 105, Farmington Hills, MI 48331-3140

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