Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mackenzie R Mousouleas, OTR/L

Individual provider Occupational Therapist · NPI 1679110480

Mackenzie R Mousouleas, OTR/L is an Occupational Therapist in Woodhaven, Michigan. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019
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

21267 Mayfair St
Woodhaven, MI 48183-1609
Phone: (734) 672-2933
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1679110480
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedDecember 1, 2019
Last updated in NPPESDecember 1, 2019
Mailing address21267 Mayfair St, Woodhaven, MI 48183-1609

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