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Individual

JAYLYNN N TALSMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
224 PARK AVE, FRANKFORT, MI 49635-9658
(231) 352-2376
Mailing address
224 PARK AVE, FRANKFORT, MI 49635-9036

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202009925
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5202009925
MI
Enumeration date
06/23/2022
Last updated
06/23/2022
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