Debora Spring

Individual provider Active NPI Occupational Therapist · Manchester, MI

NPI 1215355771 · NPPES record last updated Apr 2, 2014

Key facts

NPI
1215355771
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
5201002354 (MI)
Practice address
1005 E Duncan St
2B
Manchester, MI 48158-8599
Phone
(734) 476-2784
NPI assigned
Apr 2, 2014
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
5201002354MIMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5201002354 MI Yes

Addresses

Primary practice location

1005 E Duncan St
2B
Manchester, MI 48158-8599

Mailing address

1005 E Duncan St
2B
Manchester, MI 48158-8599
Phone (734) 476-2784

Other providers in Manchester, MI

All providers in Manchester, MI · Occupational Therapist in Michigan

Sources for this page

Verify at the official NPI Registry.