MEDICARE: MS. JANE ELIZABETH-LINDSAY GRIMES OTRL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	5201007141	MI

General Provider Information

NPI Number	:	1649486275
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JANE ELIZABETH-LINDSAY GRIMES OTRL

Provider Business Mailing Address
First Line	:	697 WOODCREEK CIR
Second Line	:
City	:	SALINE
State	:	MI
Zip	:	48176-1178
Country	:	US
Telephone Number	:	313-408-5490
Fax Number	:	734-433-1989

Provider Business Practice Location Address
First Line	:	5060 JACKSON RD STE D
Second Line	:
City	:	ANN ARBOR
State	:	MI
Zip	:	48103-1867
Country	:	US
Telephone Number	:	734-627-8001
Fax Number	:	734-433-1989

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/14/2007
Last Update Date	:	01/15/2026

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