Individual
MISS CARRIE M ENGEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2161 LEONARD ST NW, GRAND RAPIDS, MI 49504-3829
(616) 453-7715
Mailing address
1515 BALL AVE NE, GRAND RAPIDS, MI 49505-5615
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201006660
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5201006660
OCCUPATIONAL THERAPIST
MI
Enumeration date
06/12/2007
Last updated
07/08/2007
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