Individual
JACOB DUNKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSOT
Contact information
Practice address
3460 HERMANSAU DR, SAGINAW, MI 48603-2520
(810) 869-1365
Mailing address
3460 HERMANSAU DR, SAGINAW, MI 48603-2520
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201008869
MI
Other
Enumeration date
06/24/2014
Last updated
06/24/2014
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