Jake Smallwood, | |
23770 Hospital St, Cassopolis, MI 49031-9699 | |
(269) 445-3801 | |
Not Available |
Full Name | Jake Smallwood |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 23770 Hospital St, Cassopolis, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316765282 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 5201013753 (Michigan) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jake Smallwood, 23770 Hospital St, Cassopolis, MI 49031-9699 Ph: () - | Jake Smallwood, 23770 Hospital St, Cassopolis, MI 49031-9699 Ph: (269) 445-3801 |
Lauren Sonin, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 23770 Hospital St, Cassopolis, MI 49031 Phone: 269-445-3801 | |
Glenda Mcmillen Hass, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 960 E State St, Cassopolis, MI 49031 Phone: 269-445-2451 Fax: 269-445-3216 |