Individual
JAYLENE MARSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
4480 BRUNSWICK RD, HOLTON, MI 49425-9558
(231) 726-0689
Mailing address
4480 BRUNSWICK RD, HOLTON, MI 49425-9558
(231) 726-0689
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
12/31/2014
Last updated
12/31/2014
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