Most Relevant Information
Provider Data
| NPI Number: | 1003376260 |
| Provider Name: | JODEAN RUTH WALTERS OTA |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 5202008384 |
Most Important Dates
| Enumeration Date: | 03/23/2019 |
| Last Updated: | 03/23/2019 |
Provider Practice Location
4322 MACKINAW RD
SAGINAW
MI
486033110
Practice Location Phone/Fax
| Phone: | 2488651177 |
| Fax: |
Provider Mailing Location
33533 W 12 MILE RD STE 290
FARMINGTON HILLS
MI
483315635
Provider Mailing Phone/Fax
| Phone: | 2488651177 |
| Fax: |