Individual
JESSICA A KENYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
15870 N HAGGERTY RD, PLYMOUTH, MI 48170-4872
(734) 420-7917
Mailing address
15870 N HAGGERTY RD, PLYMOUTH, MI 48170-4872
(734) 420-7917
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201010793
MI
Other
Enumeration date
06/12/2020
Last updated
06/12/2020
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