Jack Emmendorfer
NPI #1427831247 in Chesterfield, Michigan
Provider Information
- NPI Number
- 1427831247
- Entity Type
- Individual
- Name
- Jack Emmendorfer
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- Aug 15, 2023
- Last Updated
- Aug 15, 2023
Practice Location
- Address
- 33875 KIELY DR
- City
- Chesterfield
- State
- Michigan
- ZIP Code
- 48047-3604
- Phone
- (586) 725-6030
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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