Individual
MARK DANIEL THOMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
636 INNES ST NE, GRAND RAPIDS, MI 49503-3426
(248) 982-9082
(248) 982-9082
Mailing address
636 INNES ST NE, GRAND RAPIDS, MI 49503-3426
(248) 982-9082
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009754
MI
Other
Enumeration date
09/11/2017
Last updated
09/11/2017
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