Individual
JILL CONSTANTAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26001 FORD RD, DEARBORN HEIGHTS, MI 48127-2920
(313) 274-4600
Mailing address
26001 FORD RD, DEARBORN HEIGHTS, MI 48127-2920
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
5201007350
MI
Other
Enumeration date
10/26/2018
Last updated
10/26/2018
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