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NANCY ROSEANN POELSTRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
4000 N MICHIGAN RD, DIMONDALE, MI 48821-9744
(517) 646-6258
Mailing address
5556 LAWRENCE CT, PINCKNEY, MI 48169-9257
(586) 899-6574

Taxonomy

Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
425645
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
425645
AMERICAN OCCUPATIONA THERAPY ASSOCIATION
MD
Enumeration date
02/21/2019
Last updated
02/21/2019
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