Organization
GREAT LAKES HAND THERAPY PC
Active
Other names
Hand Therapy of Michigan
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN HERDER OT (OWNER)
(269) 979-0874
Entity
Organization
Contact information
Practice address
8175 CREEKSIDE DR STE 100, PORTAGE, MI 49024-5370
(269) 321-3011
(269) 321-3014
Mailing address
3600 CAPITAL AVE SW, BATTLE CREEK, MI 49015-9393
(269) 979-0874
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
07/28/2017
Last updated
10/24/2023
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