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1396248597
LORI LEE BULTINCK
GRAND RAPIDS, MI
NPI
1396248597
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0019X Occupational Therapist, Physical Rehabilitation
(Licence: MI 5201006053)
Enumeration Date
2018-03-14
Last Update Date
2018-03-14
Business Address
LORI LEE BULTINCK OTR
4118 KALAMAZOO AVE SE
GRAND RAPIDS, MI 49508-3605
Phone number: 616-455-7300
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Mailing Address
LORI LEE BULTINCK OTR
2497 BLUEWATER CT SW
GRANDVILLE, MI 49418-1150
Phone number: 616-291-7301
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