Individual
PATRICIA LYNN JARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTL
Contact information
Practice address
34505 W 12 MILE RD STE 100, FARMINGTON HILLS, MI 48331-3287
(855) 559-7178
Mailing address
582 WELLSLEY CT, LAKE ORION, MI 48362-1592
(248) 310-1751
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201001684
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508823774
—
MI
05
—
5201001684
—
MI
Enumeration date
12/16/2018
Last updated
12/16/2018
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