Individual
CLAYTON J JEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTRL
Contact information
Practice address
2020 RAYBROOK ST SE STE 204-B, GRAND RAPIDS, MI 49546-7717
(616) 888-1788
(616) 741-2310
Mailing address
5785 ADA DR SE, ADA, MI 49301-7832
(616) 888-1788
(616) 741-2310
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201008466
MI
Other
Enumeration date
08/13/2013
Last updated
07/17/2022
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