| NPI | 1184038341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA RAVINEALA Occupational Therapist 616-890-6997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: MI 5201008046) |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2019-10-25 |