Individual
MS. JODI MARIE WASIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
105 N HAGGERTY RD, PLYMOUTH, MI 48170-1801
(734) 455-0510
Mailing address
105 N HAGGERTY RD, PLYMOUTH, MI 48170-1801
(734) 455-0510
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201003403
MI
Other
Enumeration date
03/15/2019
Last updated
03/15/2019
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