Individual
JAKE SMALLWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
23770 HOSPITAL ST, CASSOPOLIS, MI 49031-9699
(269) 445-3801
Mailing address
23770 HOSPITAL ST, CASSOPOLIS, MI 49031-9699
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201013753
MI
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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