Jodean Ruth Walters
Occupational Therapy Assistant
4322 Mackinaw Rd
Saginaw
, Michigan 48603-3110
Jodean Ruth Walters
Occupational Therapy Assistant
4322 Mackinaw Rd
Saginaw
, Michigan 48603-3110
(248) 865-1177
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About
Features
Specialties
- Occupational Therapy Assistant
Languages spoken
- English
Location
First Address
- Jodean Ruth Walters
- 33533 W 12 Mile Rd Ste 290
- Farmington Hills, MI
- Zip : 48331-5635
- Phone : (248) 865-1177
Second Address
- Jodean Ruth Walters
- 4322 Mackinaw Rd
- Saginaw, MI
- Zip : 48603-3110
- Phone : (248) 865-1177
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 5202008384 | MI |
National Provider Identifier
| NPI | 1003376260 |
|---|---|
| Provider Name | Jodean Ruth Walters |
| First Address | Farmington Hills, MI 48331-5635 |
| Second Address | Saginaw, MI 48603-3110 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/03/2019 |
| Last Update Date | 23/03/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.