Individual
STEPHANIE SUZANNE JETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32295 FARMERSVILLE RD, FARMINGTON HILLS, MI 48334-3500
(248) 302-4437
Mailing address
32295 FARMERSVILLE RD, FARMINGTON HILLS, MI 48334-3500
(248) 302-4437
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202005546
MI
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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