ETHAN JOSEPH BOOMS

SAGINAW, MI
NPI1962905596
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MI  5201009403)
Enumeration Date2018-03-09
Last Update Date2018-06-16
Business Address
ETHAN JOSEPH BOOMS OTRL
1447 N HARRISON ST
SAGINAW, MI 48602-4727
Phone number: 989-583-6387
Mailing Address
ETHAN JOSEPH BOOMS OTRL
600 IRVING AVE
SAGINAW, MI 48602-5375
Phone number: 989-583-6387
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