Most Relevant Information
Provider Data
| NPI Number: | 1003487422 |
| Provider Name: | JESSICA LYNN FRIEND OTR, OTRL |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 5201011279 |
Most Important Dates
| Enumeration Date: | 07/07/2021 |
| Last Updated: | 07/07/2021 |
Provider Practice Location
7272 N SHELDON RD
CANTON
MI
481872150
Practice Location Phone/Fax
| Phone: | 2488002928 |
| Fax: | 2488007272 |
Provider Mailing Location
7272 N SHELDON RD
CANTON
MI
481872150
Provider Mailing Phone/Fax
| Phone: | 2488002928 |
| Fax: | 2488007272 |