Individual
ABIGAIL MARIA BOONZAAIJER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L, CDP
Contact information
Practice address
3950 SUMAC DR, TRAVERSE CITY, MI 49684-7009
(231) 935-4553
Mailing address
3602 MATADOR W APT 14, TRAVERSE CITY, MI 49684-4648
(231) 577-8516
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202008561
MI
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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