Individual
SANDY B ROELOFS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7086 8TH AVE, JENISON, MI 49428-9352
(616) 667-9551
Mailing address
7086 8TH AVE, JENISON, MI 49428-9352
(616) 667-9551
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5201008683
MI
Other
Enumeration date
06/29/2018
Last updated
06/29/2018
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