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MR. MATTHEW MICHAEL BAILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
COTA/L

Contact information

Practice address
900 S BEACON BLVD, GRAND HAVEN, MI 49417-2146
(616) 846-1850
Mailing address
5690 FOREST VIEW ST, ALLENDALE, MI 49401-9325
(616) 540-4738

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202008415
MI

Other

Enumeration date
09/09/2018
Last updated
09/09/2018
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