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Individual

MRS. AMANDA KAY WEERSMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
145 S MAIN ST #4, WAYLAND, MI 49348
(269) 792-2353
Mailing address
145 S MAIN ST #4, WAYLAND, MI 49348
(269) 792-2353

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
057002841
IL
225XP0200X
Pediatric Occupational Therapist
Primary
5201011198
MI

Other

Enumeration date
07/23/2007
Last updated
04/30/2021
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