MICHELLE TESHOME

GRAND RAPIDS, MI
NPI1306362512
Former NameMICHELLE GROSS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MI  5201010791)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: IL  056012072)
Enumeration Date2017-08-18
Last Update Date2023-06-01
Business Address
MICHELLE TESHOME OTR/L
1000 EDISON AVE NW
GRAND RAPIDS, MI 49504-3918
Phone number: 630-303-2846
Mailing Address
MICHELLE TESHOME OTR/L
3510 TRAIL WEST DR NE
GRAND RAPIDS, MI 49525-9426
Phone number: 630-303-2846