Individual
JERRIE MICHELE PEMBERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3041 COMMERCE DR, FORT GRATIOT, MI 48059-3877
(810) 858-1999
Mailing address
3041 COMMERCE DR, FORT GRATIOT, MI 48059-3877
(810) 858-1999
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201005311
MI
Other
Enumeration date
07/18/2013
Last updated
07/18/2013
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