Individual
MRS. JENNIFER MARIE-BRDA ATWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
320 CHURCH ST, MOUNT CLEMENS, MI 48043-2125
(586) 226-0434
Mailing address
29267 COMMONWEALTH ST, ROSEVILLE, MI 48066-2067
(586) 552-8164
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
520200683
MI
224Z00000X
Occupational Therapy Assistant
—
—
Other
Enumeration date
03/16/2007
Last updated
04/29/2022
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