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Individual

JAKE M WOJCIECHOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
4660 S HAGADORN RD STE 160, EAST LANSING, MI 48823-6804
(800) 974-4378
(630) 515-1536
Mailing address
24014 W RENWICK RD STE F, PLAINFIELD, IL 60544-8708
(800) 974-4378
(630) 515-1536

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201012797
MI

Other

Enumeration date
02/28/2022
Last updated
02/28/2022
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