Individual
MISS JENNA L STOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
1030 W HIGHLAND RD, HOWELL, MI 48843-8701
(517) 546-9000
(517) 546-9006
Mailing address
10483 DIXIE HWY, HOLLY, MI 48442-9311
(810) 771-7686
(810) 771-7685
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201007681
MI
Other
Enumeration date
02/06/2013
Last updated
06/14/2022
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