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

Mrs. Liezel S Petrus, OTR

Individual provider Occupational Therapist · NPI 1619757911

Mrs. Liezel S Petrus, OTR is an Occupational Therapist in Troy, Michigan. Licensed in Michigan. Registered with an NPI since 2023.

Licensed in
MI
In the registry since
2023
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

44201 Dequindre Rd Ste 203A
Troy, MI 48085-1117
Phone: (248) 964-4065
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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 5201013279 (MI)

Record details

NPI number1619757911
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorNo
NPI enumeratedOctober 3, 2023
Last updated in NPPESOctober 3, 2023
Certification dateOctober 3, 2023

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