Healthcare Provider Details

I. General information

NPI: 1336413897
Provider Name (Legal Business Name): JENNIFER ANN BARNES OCCUPATIONAL THERAPI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNIFE ANN BIESKA OCCUPATIONAL THERAPI

II. Dates (important events)

Enumeration Date: 03/01/2012
Last Update Date: 09/25/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2191 HARWOOD ROAD
IONIA MI
48846-4958
US

IV. Provider business mailing address

2191 HARWOOD ROAD
IONIA MI
48846-4958
US

V. Phone/Fax

Practice location:
  • Phone: 616-527-4900
  • Fax: 616-527-4731
Mailing address:
  • Phone: 616-527-4900
  • Fax: 616-527-4731

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number5201008171
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: