Individual
JADE RHIANNON SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTAL
Contact information
Practice address
210 TOWN CENTER DR, TROY, MI 48084-1774
(248) 643-8900
(248) 740-3505
Mailing address
537 SUPERIOR BLVD, WYANDOTTE, MI 48192-5030
(734) 818-9359
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
L706111
MI
Other
Enumeration date
09/07/2015
Last updated
09/07/2015
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