Organization
HOME CONNECTION THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN VANDERLAAN MS, OTR/L, CCM (MANAGING MEMBER / OWNER)
(616) 890-8660
Entity
Organization
Contact information
Practice address
1232 GRISWOLD ST SE, GRAND RAPIDS, MI 49507-3815
(616) 890-8660
Mailing address
1232 GRISWOLD ST SE, GRAND RAPIDS, MI 49507-3815
(616) 890-8660
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265005151
GROUP NPI
MI
Enumeration date
07/20/2021
Last updated
08/23/2024
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