Individual
MRS. MICHELLE FAYE JEFFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA,CLT
Contact information
Practice address
1826 EDGEFIELD LN, MISHAWAKA, IN 46544-5624
(574) 850-0469
Mailing address
1826 EDGEFIELD LN, MISHAWAKA, IN 46544-5624
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32002430A
IN
Other
Enumeration date
06/30/2026
Last updated
06/30/2026
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