Individual
CHRISTINE ANNETTE JEFFERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
43533 ELIZABETH ST, MOUNT CLEMENS, MI 48043-1034
(586) 469-5613
Mailing address
23277 LYNNHURST ST, MACOMB, MI 48042-5479
(586) 949-3191
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202002467
MI
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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