Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 5201007699 | MI |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 46TR00189700 | NJ |
NPI | 1265554836 |
---|---|
Provider Name | Ms. Emily Marie Emerick |
First Address | White Lake, MI 48386-2136 |
Second Address | White Lake, MI 48386 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2007 |
Last Update Date | 14/09/2018 |