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1912957358
SHELLY HENNINK DAVIS
GRAND RAPIDS, MI
NPI
1912957358
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XH1200X Occupational Therapist, Hand
(Licence: MI 5201000680)
Enumeration Date
2006-05-10
Last Update Date
2007-07-08
Business Address
Ms. SHELLY HENNINK DAVIS OTR
1111 LEFFINGWELL AVE NE SUITE 210
GRAND RAPIDS, MI 49525-6406
Phone number: 616-949-5061
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Mailing Address
Ms. SHELLY HENNINK DAVIS OTR
735 FIRESTONE DR SE
BYRON CENTER, MI 49315-8478
Phone number: 616-656-0037
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