Organization
ESSENTIAL SKILLS OCCUPATIONAL THERAPY, LLC
Active
Organization
ESSENTIAL SKILLS OCCUPATIONAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY MILES OTR/L (OCCUPATIONAL THERAPIST)
(517) 918-9205
Entity
Organization
Contact information
Practice address
12211 PATTON RD, GRAND RAPIDS, OH 43522-9640
(517) 918-9205
Mailing address
12211 PATTON RD, GRAND RAPIDS, OH 43522-9640
(517) 918-9205
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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