Individual
PATRICIA LYNN CORNILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
12555 LAKESHORE DR, GRAND HAVEN, MI 49417-8655
(616) 566-2342
Mailing address
12555 LAKESHORE DR, GRAND HAVEN, MI 49417-8655
(616) 566-2342
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0004850
CO
Other
Enumeration date
06/04/2017
Last updated
07/21/2022
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