Individual
ERICA R GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOT, OTRL
Contact information
Practice address
15855 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3504
(586) 263-2300
Mailing address
15855 19 MILE RD, CLINTON TWP, MI 48038-3504
(586) 263-2300
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201010117
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023114634
—
MI
05
—
382947657
—
MI
Enumeration date
07/03/2018
Last updated
12/10/2025
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