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

Individual provider Occupational Therapist · NPI 1407115215

Mrs. Amie Dawn Detharidge, OTRL is an Occupational Therapist in Private Practice in Detroit, Michigan. Qualified in 2010, 16 years ago. Practices with Psygenics Inc, an 8-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
16
Licensed in
MI
In the registry since
2012
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Practice location Address checks out

7800 W Outer Dr Ste 300
Detroit, MI 48235-3458
Phone: (313) 340-4442
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 13101 Allen Rd, Southgate, MI 48195-2216 — (734) 785-7700

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 5201007935 (MI)

Record details

NPI number1407115215
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTRL
Sole proprietorYes
NPI enumeratedMay 14, 2012
Last updated in NPPESJuly 17, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Psygenics Inc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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