LISA MARIE SHIMP

GRAND RAPIDS, MI
NPI1154896827
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MI  5202007926)
Enumeration Date2018-10-09
Last Update Date2018-10-09
Business Address
LISA MARIE SHIMP COTA/L
111 LAKESIDE DR NE
GRAND RAPIDS, MI 49503-3811
Phone number: 616-588-1645
Mailing Address
LISA MARIE SHIMP COTA/L
9262 160TH AVE
WEST OLIVE, MI 49460-9193
Phone number: 616-990-0970
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