Individual
JENNIFER J KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
17197 N LAUREL PARK DR STE 555, LIVONIA, MI 48152-2686
(734) 779-9700
(734) 779-9799
Mailing address
17197 N LAUREL PARK DR STE 555, LIVONIA, MI 48152-2686
(734) 779-9700
(734) 779-9799
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
05844
OH
224Z00000X
Occupational Therapy Assistant
Primary
5202007861
MI
Other
Enumeration date
02/09/2015
Last updated
02/09/2015
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