Individual
ERIC WAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
36975 FIVE MILE RD, LIVONIA, MI 48154-1871
(734) 464-0600
Mailing address
56701 HARTLEY DR E, SHELBY TOWNSHIP, MI 48316-5587
(586) 206-0429
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
5201006958
MI
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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