# GREAT LAKES HAND THERAPY PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HAND THERAPY OF MICHIGAN
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568628790
- **Authorized official:** LISA MARIE WILLEMS (BILLING)
- **Authorized official phone:** (269) 372-7200

## Contact information

- **Practice address:** 3600 CAPITAL AVE SW STE 103, BATTLE CREEK, MI 49015
- **Practice address phone:** (269) 979-0874
- **Practice address fax:** (269) 979-0901
- **Mailing address:** 3600 CAPITAL AVE SW STE 103, BATTLE CREEK, MI 49015-9393
- **Mailing address phone:** (269) 979-0874
- **Mailing address fax:** (269) 979-0901

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225XH1200X | Hand Occupational Therapist | 5201002623 | MI | Yes |

## Other

- **Enumeration date:** 08/07/2008
- **Last updated:** 10/24/2023