Individual
JESSICA JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4436 BEECHER RD, FLINT, MI 48532-2609
(810) 733-0290
Mailing address
10168 W MOUNT MORRIS RD, FLUSHING, MI 48433-9260
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202008076
MI
Other
Enumeration date
02/11/2020
Last updated
02/13/2020
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