STACEY KATHERINE MANNING

GRAND RAPIDS, MI
NPI1740782382
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MI  5201005945)
Enumeration Date2018-02-28
Last Update Date2018-02-28
Business Address
STACEY KATHERINE MANNING OTR
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503-5247
Phone number: 616-840-8000
Mailing Address
STACEY KATHERINE MANNING OTR
7424 HOMETOWN CT SE
CALEDONIA, MI 49316-7322
Phone number: 616-822-1666