Individual
ERIN MANICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
(248) 325-1000
Mailing address
3580 GARDNER AVE, BERKLEY, MI 48072-1474
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201007800
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134621931
—
MI
Enumeration date
03/07/2018
Last updated
03/07/2018
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