Male or Other

Clayton J. Jewell OTRL

Occupational Therapist in Grand Rapids, MI(View on Map)

Full Name

Clayton J Jewell OTRL

NPI Number

1417380544

NPI Type

Individual Provider

Gender

Male

Enumeration Date

08/13/2013

Specialties

(Taxonomies)

Code

225X00000X

Primary Taxonomy

Yes

Licenses

State

Michigan

License Number

5201008466

Contact
Information

Purpose

Mailing
Location

Address

5785 ADA DR SE
2020 RAYBROOK ST SE STE 204-B

City

Ada
Grand Rapids

State

MI
MI

Postal Code

49301-7832
49546-7717

Country

US
US

Telephone Number

(616) 888-1788
(616) 888-1788

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/17/2022

Provider Address

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