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Individual

ERIN MICHELLE QUILLMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT, CLT, COTA

Contact information

Practice address
2300 DARNELL ST, WOLVERINE LAKE, MI 48390-1846
(248) 568-2113
Mailing address
2300 DARNELL ST, WOLVERINE LAKE, MI 48390-1846
(248) 568-2113

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
5202005188
MI
225700000X
Massage Therapist
Primary
7501006602
MI

Other

Enumeration date
05/14/2018
Last updated
05/14/2018
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