Individual
MRS. JENNIFER R CHISSUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS, CBIS
Contact information
Practice address
3181 SANDHILL RD, MASON, MI 48854-9425
(517) 336-6060
(517) 336-6050
Mailing address
3181 SANDHILL RD, MASON, MI 48854-9425
(517) 336-6060
(517) 336-6050
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
53645
MI
Other
Enumeration date
10/17/2006
Last updated
09/29/2011
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