Individual
JENNICA CHRISTINE RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTRL
Contact information
Practice address
2644 BELFAST AVE SE, GRAND RAPIDS, MI 49507-3951
(989) 912-0390
Mailing address
2644 BELFAST AVE SE, GRAND RAPIDS, MI 49507-3951
(989) 912-0390
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201008927
MI
Other
Enumeration date
06/26/2024
Last updated
08/07/2024
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