Individual
JANNIFER A KINCAID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1516 E BUDER AVE, BURTON, MI 48529-1606
(810) 919-5355
Mailing address
1516 E BUDER AVE, BURTON, MI 48529-1606
(810) 919-5355
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201008075
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5201008075
PROFESSIONAL LICENSE NUMBER
MI
Enumeration date
11/01/2011
Last updated
11/01/2011
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