Individual
MR. BRIAN MARK HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, OTR/L
Contact information
Practice address
4280 CASCADE RD SE, GRAND RAPIDS, MI 49546-8301
(616) 942-5570
(616) 942-5695
Mailing address
O-208 HERON DR NW APT 306, GRAND RAPIDS, MI 49534-1081
(616) 799-2468
(616) 942-5695
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201008337
MI
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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