Individual
ERIN DEPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15870 N HAGGERTY RD, NORTHVILLE, MI 48430-9409
(810) 772-1467
Mailing address
5780 BULLARD RD, FENTON, MI 48430-9409
(810) 772-1467
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502004589
MI
Other
Enumeration date
09/30/2015
Last updated
09/30/2015
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