Individual
ELIZABETH MARIE GATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
209 LAKE AVE, FREMONT, MI 49412-1405
(616) 889-5193
(616) 889-5193
Mailing address
209 LAKE AVE, FREMONT, MI 49412-1405
(616) 889-5193
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202002570
MI
Other
Enumeration date
04/24/2026
Last updated
04/24/2026
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