Individual
JODEAN RUTH WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
4322 MACKINAW RD, SAGINAW, MI 48603-3110
(248) 865-1177
Mailing address
33533 W 12 MILE RD STE 290, FARMINGTON HILLS, MI 48331-5635
(248) 865-1177
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202008384
MI
Other
Enumeration date
03/23/2019
Last updated
03/23/2019
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