| Doctor Name: | KIMBERLY JANELL JEFFRIES |
| NPI Number: | 1114087186 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | OTR |
| License Number: | 5201005664 |
| Business Practice Address: | 2333 Biddle St Wyandotte, MI - 481924668 |
| Business Phone Number: | 7342469033 |
| Business Fax Number: | |
| Mailing Address: | 5122 Iroquois St, DETROIT |
| State: | MI |
| Postal Code: | 482132985 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 12/11/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225XN1300X |
| License Number: | 5201005664 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Occupational Therapist |
| Taxonomy Specialization: | Neurorehabilitation |
| Taxonomy Definition: | |