Individual
ANTHONY MARTINICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15855 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3504
(586) 263-2300
Mailing address
42415 COLORADO DR, CLINTON TOWNSHIP, MI 48036-1475
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201008275
MI
Other
Enumeration date
05/01/2018
Last updated
04/21/2021
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