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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ALIC BERDIN

Active

ALIC BERDIN is a Occupational Therapy Assistant healthcare provider located in SOUTHGATE, Michigan. NPI 1669991501 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · SOUTHGATE, MI

Registration Details

NPI Number
1669991501
Provider Type
Individual
Gender
Male
NPI Issued
Sep 12, 2017 (8.7317326991079 yrs)
Last Updated
Nov 18, 2025

Practice Information

Address
13101 ALLEN RD
SOUTHGATE, MI, 481952216
Browse MI providers · Browse ZIP 48195
Phone
7347857700
Primary Specialty
Occupational Therapy Assistant
225400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.