Individual
EMILY KEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3747 BRADFORD ST NE, GRAND RAPIDS, MI 49525-3324
(616) 821-7314
Mailing address
PO BOX 1053, ADA, MI 49301-1053
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
69843
MI
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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