Individual
ERICKA KENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
(325) 248-1000
Mailing address
15010 FROST RD, HEMLOCK, MI 48626-9664
(989) 573-2988
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201011231
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
205501915792
AMERICAN HEART ASSOCIATION
—
01
—
449661
NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY
—
01
—
5201011231
MICHIGAN BOARD OF OCCUPATIONAL THERAPY
MI
Enumeration date
06/16/2021
Last updated
06/20/2025
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