Organization
SENSORY SOURCE, LLC
Active
Organization
SENSORY SOURCE, LLC
Active
Other names
Sensory Learning Center of West Michigan
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA MARIE ROSLUND O.D. (OPTOMETRIST, LLC MANAGER)
(616) 895-9550
Entity
Organization
Contact information
Practice address
11301 COMMERCE DR, SUITE A, ALLENDALE, MI 49401-8200
(616) 895-9550
(616) 892-5166
Mailing address
11301 COMMERCE DR, SUITE A, ALLENDALE, MI 49401-8200
(616) 895-9550
(616) 892-5166
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
4901003210
MI
Other
Enumeration date
04/26/2007
Last updated
08/22/2020
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