Miranda Dee Jenkins, OTR
Occupational Therapist in Niles, MI. Individual provider (NPI-1).
NPI number1609588656
StatusActive
Last updated in NPPESDec 21, 2022
Details
- NPI
- 1609588656
- Entity type
- Individual (NPI-1)
- Name
- Miranda Dee Jenkins
- Credential
- OTR
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 21, 2022
- Certification date
- Dec 21, 2022
- Last updated
- Dec 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 5201013199 | MI | Yes |
Practice location
31 N Saint Joseph AveNiles, MI 49120-2207
Phone 269-687-1885
Mailing address
31 N Saint Joseph AveNiles, MI 49120-2207
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All 18 Occupational Therapist providers in Niles · All 619 providers in Niles
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