Individual
EMILIE GOODNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTL
Contact information
Practice address
6892 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3032
(248) 788-4300
Mailing address
28555 ORCHARD LAKE RD, SUITE 106, FARMINGTON HILLS, MI 48334-2973
(248) 788-4300
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009093
MI
Other
Enumeration date
04/06/2015
Last updated
04/06/2015
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