Makenna Osterholm

NPI #1407561020 in Jackson, Michigan

Provider Information

NPI Number: 1407561020
Entity Type: Individual
Name: Makenna Osterholm
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 18, 2023
Last Updated: Jan 18, 2023

Practice Location

Address: 1001 LAURENCE AVE STE E
City: Jackson
State: Michigan
ZIP Code: 49202-2980
Phone: (517) 750-4777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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