Individual
JENNIFER LYNN ANCANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOTR/L
Contact information
Practice address
3527 3 MILE RD NE, GRAND RAPIDS, MI 49525-9626
(616) 318-9497
Mailing address
3527 3 MILE RD NE, GRAND RAPIDS, MI 49525-9626
(616) 318-9497
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201007466
MI
Other
Enumeration date
02/04/2011
Last updated
02/04/2011
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