| |
5629 Way Rd Nw, Rapid City, MI 49676-9546 | |
(231) 258-5437 | |
(231) 258-6770 |
Full Name | |
---|---|
Type | Facility |
Speciality | Occupational Therapist |
Location | 5629 Way Rd Nw, Rapid City, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871870303 | NPI | - | NPPES |
772-855 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | L1774963 (Michigan) | Primary |
Mailing Address | Practice Location Address |
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5629 Way Rd Nw, Rapid City, MI 49676-9546 Ph: (231) 258-5437 | 5629 Way Rd Nw, Rapid City, MI 49676-9546 Ph: (231) 258-5437 |