Individual
MICHELLE ANN MANNINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTAL
Contact information
Practice address
1775 S ROCHESTER RD, ROCHESTER HILLS, MI 48307-3569
(248) 923-5976
Mailing address
16121 26 MILE RD, RAY TWP, MI 48096-4003
(586) 255-3494
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202007866
MI
Other
Enumeration date
06/02/2022
Last updated
06/02/2022
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