Individual
JASMIN GENEVIEVE BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L, CKTP
Contact information
Practice address
261 MACK AVE, DETROIT, MI 48201-2417
(313) 745-0725
Mailing address
4310 PLEASANT PLACE, WINDSOR, ONTARIO N8Y 2-G1
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201007362
MI
Other
Enumeration date
06/05/2018
Last updated
06/05/2018
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