Individual
MRS. KIMBERLY ANN JAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6250 MOUNTIE WAY, JACKSON, MI 49201-9412
(517) 782-1605
Mailing address
6250 MOUNTIE WAY, JACKSON, MI 49201-9412
(517) 782-1605
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201002309
MI
Other
Enumeration date
02/01/2010
Last updated
02/01/2010
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