Individual
MS. JENNA SANDRA DODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 551-0572
Mailing address
19927 JOLGREN DR, CLINTON TOWNSHIP, MI 48038-2262
(586) 489-0254
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5201010145
MI
Other
Enumeration date
07/18/2018
Last updated
07/18/2018
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