AMANDA FAIRBANKS

GRAND RAPIDS, MI
NPI1316433576
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MI  5201008519)
Enumeration Date2018-07-10
Last Update Date2018-07-10
Business Address
AMANDA FAIRBANKS OTR/L
1050 4 MILE RD NW
GRAND RAPIDS, MI 49544-1505
Phone number: 616-685-7073
Mailing Address
AMANDA FAIRBANKS OTR/L
7941 KINMONT CT
JENISON, MI 49428-9109
Phone number: