Individual
JACLYN ROEPCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTRL
Contact information
Practice address
2814 WOODCLIFF CIR SE, GRAND RAPIDS, MI 49506
(855) 583-2672
Mailing address
6987 SCOTT LAKE TRL NE, COMSTOCK PARK, MI 49321-9603
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
225X00000X
Occupational Therapist
Primary
5201009265
MI
Other
Enumeration date
11/19/2015
Last updated
07/03/2019
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