Individual
STACEY KRBEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2510 LAKE MICHIGAN DR NW, GRAND RAPIDS, MI 49504-8042
(616) 259-0408
Mailing address
4732 E MEADOWS DR SE, GRAND RAPIDS, MI 49546-6295
(616) 308-9635
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201007451
MI
Other
Enumeration date
03/04/2018
Last updated
03/04/2018
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