Individual
CASSANDRA M JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 ANDREW AVE, LA PORTE, IN 46350-6337
(219) 362-7014
Mailing address
931 S 3RD ST, NILES, MI 49120-3414
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201010116
MI
Other
Enumeration date
10/18/2018
Last updated
10/18/2018
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