Mrs Stacey Ann Etherton-agius, OTRL - Occupational Therapist in Detroit, MI

Mrs Stacey Ann Etherton-agius, OTRL is a Occupational Therapist - Physical Rehabilitation based in Detroit, Michigan. Mrs Stacey Ann Etherton-agius is licensed to practice in Michigan (license number 5201001866) and her current practice location is 261 Mack Ave, Detroit, Michigan. She can be reached at her office (for appointments etc.) via phone at (313) 745-0982.

NPI number for Mrs Stacey Ann Etherton-agius is 1851884076 and her current mailing address is 1789 Broadstone Rd, Grosse Pointe Woods, Michigan. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1851884076.

Contact Information

Mrs Stacey Ann Etherton-agius, OTRL
261 Mack Ave,
Detroit, MI 48201-2417
(313) 745-0982
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMrs Stacey Ann Etherton-agius
GenderFemale
SpecialityOccupational Therapist - Physical Rehabilitation
Location261 Mack Ave, Detroit, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1851884076
  • Provider Enumeration Date: 06/12/2018
  • Last Update Date: 06/16/2018

Medical Identifiers

Medical identifiers for Mrs Stacey Ann Etherton-agius such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851884076NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225XP0019XOccupational Therapist - Physical Rehabilitation 5201001866 (Michigan)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Stacey Ann Etherton-agius is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Stacey Ann Etherton-agius, OTRL
1789 Broadstone Rd,
Grosse Pointe Woods, MI 48236-1950

Ph: (313) 212-9722
Mrs Stacey Ann Etherton-agius, OTRL
261 Mack Ave,
Detroit, MI 48201-2417

Ph: (313) 745-0982

Reviews and Comments


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