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Individual

JORDAN MACIEJEWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
3710 KATALIN CT, BAY CITY, MI 48706-2160
(989) 342-2012
Mailing address
3112 E MIDLAND RD, BAY CITY, MI 48706-2769
(989) 525-4887

Taxonomy

Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
5201010106
MI
225XP0200X
Pediatric Occupational Therapist
Primary
5201010106
MI
225XP0200X
Pediatric Occupational Therapist

Other

Enumeration date
11/14/2018
Last updated
07/15/2025
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