Individual
ALISON JOY BROEKHUIZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
706 KENTUCKY AVE, SOUTH HAVEN, MI 49090-9607
(269) 639-7310
Mailing address
3425 HARVESTWAY CT, HAMILTON, MI 49419-8702
(616) 836-1402
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
MI
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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