Individual
JESSIE WYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3877 SIX MILE ROAD, SUITE 209, LIVONIA, MI 48152
(734) 452-0395
Mailing address
9929 RIO SAN DIEGO DR, APT 44, SAN DIEGO, CA 92108-5608
(619) 846-2434
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201008479
MI
225X00000X
Occupational Therapist
9317
CA
Other
Enumeration date
04/19/2013
Last updated
03/26/2021
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