Individual
PAMELA JEAN CLEVENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,OTRL
Contact information
Practice address
4065 SALADIN DR SE, GRAND RAPIDS, MI 49546-6249
(616) 942-2081
(616) 942-5932
Mailing address
4065 SALADIN DR SE, GRAND RAPIDS, MI 49546-6249
(616) 942-2081
(616) 942-5932
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201008023
MI
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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