Individual
JAMIE LYNGSTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6120 STADIUM DR # 100, KALAMAZOO, MI 49009-3022
(800) 379-1600
Mailing address
2237 SYCAMORE LN, KALAMAZOO, MI 49008-2033
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201010837
MI
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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