Individual
JESSICA BLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(941) 539-5326
Mailing address
1646 KIRTS BLVD APT 205, TROY, MI 48084-4347
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201014381
MI
Other
Enumeration date
10/02/2025
Last updated
03/12/2026
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