HEATHER FAYE DESPRES COOK

GRAND RAPIDS, MI
NPI1083104020
Former NameHEATHER FAYE DESPRES
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: MI  5501006545)
Enumeration Date2018-05-15
Last Update Date2018-05-15
Business Address
Mrs. HEATHER FAYE DESPRES COOK PT
1840 WEALTHY ST SE FL 5
GRAND RAPIDS, MI 49506-2921
Phone number: 616-774-3833
Mailing Address
Mrs. HEATHER FAYE DESPRES COOK PT
1018 32ND ST SW
WYOMING, MI 49509-2806
Phone number: 616-498-9364