AUDRA LOU KUPERUS

GRAND RAPIDS, MI
NPI1225503501
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MI  5202008414)
Enumeration Date2018-10-12
Last Update Date2020-02-13
Business Address
AUDRA LOU KUPERUS COTAL
3600 FULTON ST E
GRAND RAPIDS, MI 49546-1322
Phone number: 616-949-4971
Mailing Address
AUDRA LOU KUPERUS COTAL
6351 N BROADWAY RD
FREEPORT, MI 49325-9712
Phone number: 616-212-9216
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