JACK EMMENDORFER

CHESTERFIELD, MI
NPI1427831247
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MI  5202010112)
Enumeration Date2023-08-15
Last Update Date2023-08-15
Business Address
JACK EMMENDORFER
33875 KIELY DR
CHESTERFIELD, MI 48047-3604
Phone number: 586-725-6030
Mailing Address
JACK EMMENDORFER
53206 MARK DR
SHELBY TOWNSHIP, MI 48316-2371
Phone number:
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