Individual
ELSIE U LEVANDOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
750 E 40TH ST, HOLLAND, MI 49423-5342
(616) 394-3346
Mailing address
11046 JAMES ST, ZEELAND, MI 49464-8376
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202008265
MI
Other
Enumeration date
11/16/2018
Last updated
11/16/2018
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