Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Rollin Desean Fowlkes Jr., OTRL

Individual provider Occupational Therapist · NPI 1619347085

Mr. Rollin Desean Fowlkes Jr., OTRL is an Occupational Therapist in Wayne, Michigan. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2015
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Practice location Address checks out

34330 Van Born Rd
Wayne, MI 48184-2472
Phone: (313) 287-0057
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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 122821 (TX)

Record details

NPI number1619347085
Entity typeIndividual (Type 1)
GenderMale
Credentials OTRL
Sole proprietorYes
NPI enumeratedSeptember 29, 2015
Last updated in NPPESApril 28, 2026
Certification dateApril 28, 2026

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