Individual
SHERI VANGORP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12929 PATTISON ST, CORONA, CA 92880-8571
(616) 822-7176
Mailing address
12929 PATTISON ST, CORONA, CA 92880-8571
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
1648
CA
224Z00000X
Occupational Therapy Assistant
Primary
5202003259
MI
Other
Enumeration date
03/27/2009
Last updated
07/12/2021
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