KIM ANN CORNELISSE

GRANDVILLE, MI
NPI1053898775
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MI  5202004084)
Enumeration Date2018-07-25
Last Update Date2018-07-25
Business Address
KIM ANN CORNELISSE COTA/L
3400 WILSON AVE SW
GRANDVILLE, MI 49418-1854
Phone number: 616-534-5487
Mailing Address
KIM ANN CORNELISSE COTA/L
3400 WILSON AVE SW
GRANDVILLE, MI 49418-1854
Phone number:
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