Individual
KIMBERLY JANELL JEFFRIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2333 BIDDLE ST, WYANDOTTE, MI 48192-4668
(734) 246-9033
Mailing address
5122 IROQUOIS ST, DETROIT, MI 48213-2985
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
5201005664
MI
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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