Individual
JENNIFER LEE FONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2636 S MILFORD RD, HIGHLAND, MI 48357-4938
(248) 684-9610
Mailing address
2636 S MILFORD RD, HIGHLAND, MI 48357-4938
(248) 684-9610
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201004571
MI
Other
Enumeration date
11/15/2010
Last updated
11/15/2010
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