Individual
MRS. JENNIFER L REWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
5831 128TH AVE, FENNVILLE, MI 49408-8415
(269) 561-6540
(269) 561-6540
Mailing address
5831 128TH AVE, FENNVILLE, MI 49408-8415
(269) 561-6540
(269) 561-6540
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
L1562393
MI
Other
Enumeration date
11/12/2010
Last updated
11/12/2010
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