Individual
KERRI L DEWEERDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
280 W 40TH ST, HOLLAND, MI 49423-4664
(616) 796-3637
Mailing address
3957 45TH ST, HAMILTON, MI 49419-9731
(269) 751-2429
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202005147
MI
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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