Individual
DINICE J BUITENDORP-PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
28050 GRAND RIVER AVE, FARMINGTON HILLS, MI 48336-5919
(248) 471-8604
Mailing address
8290 GRAY ST, WESTLAND, MI 48185-1102
(248) 470-5855
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201006287
MI
Other
Enumeration date
02/25/2018
Last updated
02/25/2018
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