Individual
MRS. JODELL GAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AAS/COTA/L
Contact information
Practice address
220 BAGLEY ST, SUITE 1100, DETROIT, MI 48226-1400
(313) 961-7990
Mailing address
220 BAGLEY ST, SUITE 1100, DETROIT, MI 48226-1400
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202004732
MI
Other
Enumeration date
06/17/2010
Last updated
06/17/2010
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