Individual
DIANN FISK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1111 LEFFINGWELL AVE NE, SUITE 200, GRAND RAPIDS, MI 49525-6406
(616) 459-7101
(616) 954-6483
Mailing address
1111 LEFFINGWELL AVE NE, SUITE 200, GRAND RAPIDS, MI 49525-6406
(616) 459-7101
(616) 954-6483
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201006864
MI
Other
Enumeration date
12/16/2005
Last updated
03/06/2013
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