Organization
MI HOME LIFE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAYNE MARIE YATCZAK OTRL (OWNER)
(734) 961-5450
Entity
Organization
Contact information
Practice address
936 MADISON ST., YPSILANTI, MI 48197-5294
(734) 961-5450
Mailing address
936 MADISON ST., YPSILANTI, MI 48197-5294
(734) 961-5450
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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