Individual
RACHEL VICTORIA ELERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
750 FULLER AVE NE, GRAND RAPIDS, MI 49503-1918
(616) 950-7710
Mailing address
607 MAYNARD AVE NW, GRAND RAPIDS, MI 49504-4629
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
368274
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
368274
—
MI
Enumeration date
03/22/2018
Last updated
03/22/2018
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