Individual
JENNIFER NICOLE BUEBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
7005 PONTIAC TRAIL, WEST BLOOMFIELD, MI 48323-2181
(810) 730-6362
Mailing address
7468 DRY CREEK DR APT 3A, GRAND BLANC, MI 48439-6316
(810) 730-6362
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201008327
MI
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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