Individual
JENNIFER MARIE DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
31215 NOVI RD, NOVI, MI 48377-4515
(517) 604-0003
Mailing address
1400 OAKCREST RD, HOWELL, MI 48843-8494
(517) 604-0003
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201008609
MI
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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