Individual
EMMA ROSE HOSTETLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5258 PLAINFIELD AVE NE STE A, GRAND RAPIDS, MI 49525-1092
(616) 466-4068
Mailing address
5258 PLAINFIELD AVE NE STE A, GRAND RAPIDS, MI 49525-1092
(616) 466-4068
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5201010669
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5201010669
STATE OF MICHIGAN
MI
Enumeration date
02/05/2020
Last updated
04/24/2025
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