Individual
JILL MARIE WOODHAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
601 JOHN ST, KALAMAZOO, MI 49007-5341
(269) 341-6390
Mailing address
44970 27TH ST, MATTAWAN, MI 49071-9736
(269) 501-4643
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201004307
MI
Other
Enumeration date
08/24/2019
Last updated
08/24/2019
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