Provider Demographics
NPI:1629218904
Name:ENRIGHT, MARTHA (OTR)
Entity Type:Individual
Prefix:
First Name:MARTHA
Middle Name:
Last Name:ENRIGHT
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1410 W BUELL RD
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48363-2328
Mailing Address - Country:US
Mailing Address - Phone:586-662-4085
Mailing Address - Fax:
Practice Address - Street 1:1410 W BUELL RD
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:MI
Practice Address - Zip Code:48363-2328
Practice Address - Country:US
Practice Address - Phone:586-662-4085
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-26
Last Update Date:2009-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5201000562225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist