Individual
MICHAEL JOSEPH EBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
(248) 325-1000
Mailing address
348 E SARATOGA ST, FERNDALE, MI 48220-3324
(248) 763-6176
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
275370
KY
Other
Enumeration date
01/04/2022
Last updated
09/25/2023
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