Individual
GRETCHEN BLAHNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1490 E BELTLINE AVE SE, GRAND RAPIDS, MI 49506-4336
(855) 407-7575
Mailing address
6190 BARNES RD, COLORADO SPRINGS, CO 80922-2600
(719) 597-0822
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202008498
MI
Other
Enumeration date
11/18/2019
Last updated
11/06/2024
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