Organization
GREAT LAKES HAND THERAPY PC
Active
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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