Individual
JEAN ELLEN WEYGANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, ATP
Contact information
Practice address
2911 EYDE PKWY STE 120, EAST LANSING, MI 48823-5381
(517) 333-8980
(517) 253-4030
Mailing address
12655 JACKSON RD, LAKE ODESSA, MI 48849-9726
(616) 485-7875
(517) 253-4030
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201002065
MI
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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