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

Mr. Mark Anthony Bores II

Individual provider Occupational Therapist · NPI 1396221107

Mr. Mark Anthony Bores II is an Occupational Therapist in South Lyon, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2018

Practice location Address checks out

1168 Shetland Dr
South Lyon, MI 48178-5317
Phone: (248) 921-8965
Show map & directions

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

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 5201008661 (MI)

Record details

NPI number1396221107
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 15, 2018
Last updated in NPPESJuly 15, 2018

Other providers in South Lyon