Individual
MRS. JODI MARIE DOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
1331 LAKE DR SE, GRAND RAPIDS, MI 49506-1674
(616) 447-7799
Mailing address
942 BELLCLAIRE AVE SE, EAST GRAND RAPIDS, MI 49506-3104
(248) 766-6918
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201008641
MI
Other
Enumeration date
11/01/2013
Last updated
11/01/2013
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