Individual
JACK EMMENDORFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
33875 KIELY DR, CHESTERFIELD, MI 48047-3604
(586) 725-6030
Mailing address
53206 MARK DR, SHELBY TOWNSHIP, MI 48316-2371
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202010112
MI
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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