Individual
MRS. REBECCA SUE CHILDRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3491 LINCOLN RD, HAMILTON, MI 49419
(269) 751-2150
Mailing address
44 E. 8TH STREET, SUITE 205, HOLLAND, MI 49423
(616) 392-3197
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201002566
MI
Other
Enumeration date
08/01/2006
Last updated
12/23/2009
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