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

Victoria Lynn Fairley-Green, COTAL

Individual provider Occupational Therapy Assistant · NPI 1568998003

Victoria Lynn Fairley-Green, COTAL is an Occupational Therapy Assistant in Livonia, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2017

Practice location Address checks out

17177 N Laurel Park Dr Ste 417
Livonia, MI 48152-3952
Phone: (734) 666-5995
Fax: (877) 414-9925
Show map & directions

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

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 5202007270 (MI)

Record details

NPI number1568998003
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTAL
Sole proprietorYes
NPI enumeratedMay 3, 2017
Last updated in NPPESMay 3, 2017

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