Individual
MRS. KIMBERLY ANN JEROUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
15600 19 MILE RD, CLINTON TWP, MI 48038-3502
(586) 263-8700
Mailing address
15600 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3502
(586) 263-8700
(586) 412-7889
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201001405
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5201001405
OT
MI
Enumeration date
03/29/2019
Last updated
06/14/2022
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