Individual
MISS KARA LYNNE VANDERBOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
25 CONRAN DRIVE, COOPERSVILLE, MI 49404
(616) 997-6172
Mailing address
2250 ELMER DRIVE NE, GRAND RAPIDS, MI 49525
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009654
MI
Other
Enumeration date
08/10/2017
Last updated
03/17/2018
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