Individual
JAMIE LEE FARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1080 N 35TH ST, GALESBURG, MI 49053-9761
(269) 665-7043
(269) 665-4080
Mailing address
6019 PALM ST, PORTAGE, MI 49024-2731
(269) 598-1086
(269) 665-4080
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201006558
MI
Other
Enumeration date
04/11/2019
Last updated
04/11/2019
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