Individual
PETER OVERVOORDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2520 WOODMEADOW DR SE, GRAND RAPIDS, MI 49546-8031
(616) 255-9914
Mailing address
2317 DELANGE DR SE, GRAND RAPIDS, MI 49506-5306
(616) 822-0163
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501011894
MI
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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