Individual
ANDREA BOUWKNEGT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
725 FULLER AVE, BIG RAPIDS, MI 49307-2105
(231) 796-2631
Mailing address
9097 S THORNAPPLE AVE, NEWAYGO, MI 49337-8656
(231) 414-4391
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
24291041001
MI
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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