| NPI | 1902176258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA L COOPER Owner 616-447-7799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: MI 5201006016) |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2019-02-12 |