ELISE RENEE DIRKSE

JENISON, MI
NPI1114201449
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MI  5201000987)
Enumeration Date2011-10-05
Last Update Date2011-10-05
Business Address
Mrs. ELISE RENEE DIRKSE OTR/L
7086 8TH AVE
JENISON, MI 49428-9352
Phone number: 616-667-9551
Mailing Address
Mrs. ELISE RENEE DIRKSE OTR/L
1074 28TH AVE
HUDSONVILLE, MI 49426-9630
Phone number: 616-896-6484
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