Individual
SOPHIA MARIE HOUTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
710 KENMOOR AVE SE STE 110, GRAND RAPIDS, MI 49546-2379
(290) 561-6591
Mailing address
101 RANSOM ST SW, GRANDVILLE, MI 49418-9683
(616) 375-0425
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201013226
MI
Other
Enumeration date
02/15/2023
Last updated
02/15/2023
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