Individual
MONIQUE RENEE JORAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2378 WOODLAKE DR STE 280, OKEMOS, MI 48864-6016
(517) 706-0421
Mailing address
7227 N WELLING RD, SAINT JOHNS, MI 48879-9475
(517) 819-7469
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201010542
MI
Other
Enumeration date
04/19/2019
Last updated
04/19/2019
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