Individual
CAROL REISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTRL
Contact information
Practice address
625 KENMOOR AVE SE, GRAND RAPIDS, MI 49546-2395
(616) 942-5744
Mailing address
3685 ANDOVER LN, HUDSONVILLE, MI 49426-7872
(616) 826-3733
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1306876438
MI
Other
Enumeration date
05/07/2018
Last updated
05/07/2018
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