Individual
JESSICA KIEKINTVELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
58 BROOKMEADOW NORTH LN SW, APT 6, GRANDVILLE, MI 49418-3324
(231) 557-7630
Mailing address
58 BROOKMEADOW NORTH LN SW, APT 6, GRANDVILLE, MI 49418-3324
(231) 557-7630
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202008025
MI
Other
Enumeration date
05/01/2016
Last updated
05/01/2016
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