Individual
BRITTANY OOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
475 LAKE MICHIGAN DR NW, GRAND RAPIDS, MI 49504-5600
(616) 855-9622
Mailing address
8382 TIMPSON AVE SE, ALTO, MI 49302-9659
(616) 915-0623
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
63173
MI
Other
Enumeration date
01/21/2020
Last updated
01/21/2020
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