Individual
MRS. DIANA MARIJA MANITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3200 W LIBERTY RD, ANN ARBOR, MI 48103-9746
(586) 556-1137
Mailing address
14204 EISENBEISER DR, CHELSEA, MI 48118-9531
(586) 556-1137
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009789
MI
Other
Enumeration date
03/28/2017
Last updated
04/09/2017
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