Individual
JAMIE M STOCKDALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6625 DALY RD, WEST BLOOMFIELD, MI 48322-3410
(248) 737-3430
Mailing address
6625 DALY RD, WEST BLOOMFIELD, MI 48322-3410
(248) 737-3430
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201012877
MI
Other
Enumeration date
04/05/2022
Last updated
08/15/2022
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