Individual
SHANE MICHAEL MCMANAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15023 21 MILE RD, SHELBY TOWNSHIP, MI 48315-5024
(586) 286-9644
(586) 286-9647
Mailing address
15023 21 MILE RD, SHELBY TOWNSHIP, MI 48315-5024
(586) 286-9644
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
—
—
225X00000X
Occupational Therapist
Primary
5201011018
MI
Other
Enumeration date
02/08/2018
Last updated
10/19/2020
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