Individual
GARRETT A CLEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
1111 LEFFINGWELL AVE NE, GRAND RAPIDS, MI 49525-6406
(616) 459-7101
Mailing address
1111 LEFFINGWELL AVE NE, GRAND RAPIDS, MI 49525-6406
(616) 459-7101
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
5201007824
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0D14869
GROUP PTAN
—
Enumeration date
09/27/2016
Last updated
09/27/2016
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