Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jevron Manasan Macalino Jr.

Individual provider Physical Rehabilitation Occupational Therapist · NPI 1225669112

Jevron Manasan Macalino Jr. is a Physical Rehabilitation Occupational Therapist in Warren, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2020

Practice location Address checks out

12250 E 12 Mile Rd
Warren, MI 48093-3516
Phone: (586) 571-1019
Fax: (586) 751-3785
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Rehabilitation Occupational Therapist (primary) Taxonomy 225XP0019X · Licence 5201010453 (MI)

Record details

NPI number1225669112
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 29, 2020
Last updated in NPPESNovember 27, 2023
Certification dateJanuary 29, 2020

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