Individual
MS. JASMINE MARIE EDDINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
700 STEWART RD, MONROE, MI 48162-5304
(734) 240-1820
Mailing address
33551 PONDVIEW CIR, LIVONIA, MI 48152-1470
(248) 242-0409
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
5202007517
MI
225X00000X
Occupational Therapist
Primary
5201009570
MI
Other
Enumeration date
06/25/2016
Last updated
09/03/2019
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