Individual
KATHERINE MESKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
7086 8TH AVE, JENISON, MI 49428-9352
(616) 667-9551
(616) 667-9552
Mailing address
4699 HICKORY WAY DR SE, #D11, GRAND RAPIDS, MI 49546-7552
(517) 525-1427
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201008715
MI
Other
Enumeration date
02/07/2014
Last updated
02/07/2014
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