Individual
HEATHER AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2167 RIDGECREST RD SE, GRAND RAPIDS, MI 49546-4382
(616) 340-5387
Mailing address
2167 RIDGECREST RD SE, GRAND RAPIDS, MI 49546-4382
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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