Most Relevant Information
Provider Data
| NPI Number: | 1003431271 |
| Provider Name: | JESSICA A KENYON OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 5201010793 |
Most Important Dates
| Enumeration Date: | 06/12/2020 |
| Last Updated: | 06/12/2020 |
Provider Practice Location
15870 N HAGGERTY RD
PLYMOUTH
MI
481704872
Practice Location Phone/Fax
| Phone: | 7344207917 |
| Fax: |
Provider Mailing Location
15870 N HAGGERTY RD
PLYMOUTH
MI
481704872
Provider Mailing Phone/Fax
| Phone: | 7344207917 |
| Fax: |