Basic Information
| Provider Information | |||||||||
| NPI: | 1992976229 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BALDWIN | ||||||||
| FirstName: | ERIN | ||||||||
| MiddleName: | GRACE | ||||||||
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| Credential: | OTR | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2075 E WEST MAPLE RD | ||||||||
| Address2: | SUITE B204 | ||||||||
| City: | COMMERCE TWP | ||||||||
| State: | MI | ||||||||
| PostalCode: | 483903816 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2489260909 | ||||||||
| FaxNumber: | 2486243332 | ||||||||
| Practice Location | |||||||||
| Address1: | 2075 E WEST MAPLE RD | ||||||||
| Address2: | SUITE B204 | ||||||||
| City: | COMMERCE TWP | ||||||||
| State: | MI | ||||||||
| PostalCode: | 483903816 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2489260909 | ||||||||
| FaxNumber: | 2486243332 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/14/2008 | ||||||||
| LastUpdateDate: | 03/14/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | 5201002733 | MI | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.