Individual
JESSICA BUKREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18880 56TH AVE, COOPERSVILLE, MI 49404-9628
(616) 947-2052
Mailing address
18880 56TH AVE, COOPERSVILLE, MI 49404-9628
(616) 947-2052
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202007925
MI
Other
Enumeration date
03/13/2015
Last updated
03/13/2015
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