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Individual

HEATHER JOSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
1524 PORTABELLA TRL, MT PLEASANT, MI 48858-4006
(989) 772-2967
Mailing address
1079 EL CAMINO GRANDE, LAKE ISABELLA, MI 48893-9671

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201002575
MI

Other

Enumeration date
11/26/2013
Last updated
11/26/2013
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