Individual
KAILEE WUNDERMOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
340 W 40TH ST, HOLLAND, MI 49423-4600
(616) 394-0302
Mailing address
11092 ADAMS ST, HOLLAND, MI 49423-9103
(517) 899-7734
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
5201011396
MI
225XP0019X
Physical Rehabilitation Occupational Therapist
5201011396
MI
Other
Enumeration date
10/06/2025
Last updated
01/21/2026
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