Jesse Bryan Nicodemus, MOT
Jesse Bryan Nicodemus, MOT is an Occupational Therapist in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.
- Licensed in
- MI
- In the registry since
- 2018
Practice location Address checks out
2320 E Beltline Ave SEGrand Rapids, MI 49546-5906
Phone: (616) 831-8666
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence 201009340 (MI) |
|---|
Record details
| NPI number | 1386114734 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MOT |
| Sole proprietor | Yes |
| NPI enumerated | November 28, 2018 |
| Last updated in NPPES | November 28, 2018 |
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