Individual
KRISTA JOY SALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
900 S BEACON BLVD, GRAND HAVEN, MI 49417-2146
(616) 296-7300
Mailing address
1923 SUGAR CREEK CT, ZEELAND, MI 49464-8340
(616) 260-3556
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202006183
MI
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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