Organization
MOLLY BUIST & ASSOCIATES INC
Active
Other names
The Center for Childhood Development
Organization subpart
No
Provider details
NPI number
Authorized official
MOLLY BUIST (OCCUPATIONAL THERAPIST/OWNER)
(616) 667-9551
Entity
Organization
Contact information
Practice address
7086 8TH AVE, JENISON, MI 49428-9352
(616) 667-9551
(616) 667-8552
Mailing address
7086 8TH AVE, JENISON, MI 49428-9352
(616) 667-9551
(616) 667-9552
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
5201000987
MI
225X00000X
Occupational Therapist
Primary
5201001977
MI
225X00000X
Occupational Therapist
5201007232
MI
235Z00000X
Speech-Language Pathologist
09130441
MI
235Z00000X
Speech-Language Pathologist
12005914
MI
Other
Enumeration date
10/03/2011
Last updated
12/03/2012
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