Individual
MRS. RENEE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3600 CAMELOT DR SE, GRAND RAPIDS, MI 49546-8103
(616) 949-1100
(616) 949-7865
Mailing address
3600 CAMELOT DR SE, GRAND RAPIDS, MI 49546-8103
(616) 949-1100
(616) 949-7865
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202003765
MI
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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