Individual
SARAH TENCKINCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1919 BOSTON ST SE, GRAND RAPIDS, MI 49506-4185
(616) 245-9179
Mailing address
11947 FILLMORE ST, WEST OLIVE, MI 49460-9643
(616) 610-0767
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
MI
Other
Enumeration date
09/24/2019
Last updated
09/24/2019
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