Individual
JACLYN ROSE POMAJZL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
38777 6 MILE RD, LIVONIA, MI 48152-2694
(888) 414-7056
Mailing address
2610 WOODLAND AVE, ROYAL OAK, MI 48073-4616
(618) 567-9656
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
1218
NE
225X00000X
Occupational Therapist
2003017242
MO
225X00000X
Occupational Therapist
Primary
5201007749
MI
Other
Enumeration date
06/23/2010
Last updated
06/23/2010
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