Individual
MRS. JENNIFER WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
42431 ROBERTA ST, PLYMOUTH, MI 48170-4834
(734) 717-8315
Mailing address
42431 ROBERTA ST, PLYMOUTH, MI 48170-4834
(734) 717-8316
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201004305
MI
Other
Enumeration date
05/27/2010
Last updated
05/27/2010
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