Individual
NERGIS JASSIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14625 TELEGRAPH RD STE C, TAYLOR, MI 48180-4637
(734) 287-8009
Mailing address
14625 TELEGRAPH RD STE C, TAYLOR, MI 48180-4637
(734) 287-8009
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5302020392
MI
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
12/04/2018
Last updated
04/22/2021
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