| NPI | 1326585316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN VANDERLIST Owner/Occupational Therapist 231-349-1942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: MI 5201009414) |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2017-02-01 |