| NPI | 1467460493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PASUPATHY VADIVELU Administrator 616-249-3545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201006029) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2020-08-22 |