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NPI Code Detail

MEDICARE: ERIN ERDMAN OTRL

MEDICARE: ERIN ERDMAN OTRL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist5201007028MI

General Provider Information

NPI Number : 1538517503
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN ERDMAN OTRL
Provider Business Mailing Address
First Line : 1200 WASHINGTON AVE
Second Line :
City : BAY CITY
State : MI
Zip : 48708-5756
Country : US
Telephone Number : 989-895-2035
Fax Number : 989-895-2083
Provider Business Practice Location Address
First Line : 1200 WASHINGTON AVE
Second Line :
City : BAY CITY
State : MI
Zip : 48708-5756
Country : US
Telephone Number : 989-895-2035
Fax Number : 989-895-2083
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2016
Last Update Date : 05/31/2016

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Directions to “ ERIN ERDMAN OTRL” Practice Location

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