Most Relevant Information
Provider Data
| NPI Number: | 1003386996 |
| Provider Name: | NERGIS JASSIM |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/04/2018 |
| Last Updated: | 04/22/2021 |
Provider Practice Location
14625 TELEGRAPH RD STE C
TAYLOR
MI
481804637
Practice Location Phone/Fax
| Phone: | 7342878009 |
| Fax: |
Provider Mailing Location
14625 TELEGRAPH RD STE C
TAYLOR
MI
481804637
Provider Mailing Phone/Fax
| Phone: | 7342878009 |
| Fax: |