Individual
DANIEL JAY DEXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L, CLT, CKTP
Contact information
Practice address
6120 STADIUM DR, KALAMAZOO, MI 49009-3022
(269) 372-8555
Mailing address
3512 DOUGLAS AVE, KALAMAZOO, MI 49004-3605
(269) 370-3975
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201000436
MI
Other
Enumeration date
12/09/2018
Last updated
12/09/2018
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