Individual
ANNA VISSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2880 WILSON AVE SW, GRANDVILLE, MI 49418-1221
(616) 300-5495
Mailing address
2880 WILSON AVE SW, GRANDVILLE, MI 49418-1221
(616) 300-5495
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
MI
Other
Enumeration date
02/09/2021
Last updated
11/21/2024
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