Individual
HOLLY M EDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
261 MACK AVE, DETROIT, MI 48201
(248) 305-7575
Mailing address
261 MACK AVE, DETROIT, MI 48201-2495
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5201007857
MI
225XP0200X
Pediatric Occupational Therapist
OT-006911
OH
Other
Enumeration date
07/05/2007
Last updated
06/11/2018
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