Individual
HEATHER NICOLE O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
111 LAKESIDE DR NE, GRAND RAPIDS, MI 49503-3811
(616) 588-1645
Mailing address
3159 PINEHURST DR, HUDSONVILLE, MI 49426-7556
(616) 560-5305
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202007097
MI
Other
Enumeration date
04/18/2019
Last updated
04/18/2019
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