Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Justine Nicole Kenyon-Nitsch, OTR/L

Individual provider Occupational Therapist · NPI 1770161333

Justine Nicole Kenyon-Nitsch, OTR/L is an Occupational Therapist in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2021.

Licensed in
MI
In the registry since
2021
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone: (313) 916-1128
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 5201008245 (MI)

Record details

NPI number1770161333
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedApril 1, 2021
Last updated in NPPESApril 1, 2021
Certification dateApril 1, 2021

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