Individual
KIMBERLY SUE GIFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
280 W 40TH ST, HOLLAND, MI 49423-4664
(616) 796-3600
Mailing address
5498 WASHINGTON AVE, MUSKEGON, MI 49442-1881
(231) 286-4719
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202004454
MI
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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