Individual
NATALIE SUE OPHOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 LAKESIDE DR NE, GRAND RAPIDS, MI 49503-3811
(616) 456-1993
Mailing address
3985 SANTE FE CT. SW, GRANDVILLE, MI 49418
(616) 307-9107
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502005641
MI
Other
Enumeration date
10/26/2018
Last updated
10/26/2018
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