Individual
AMBER ROSE BRAUTIGAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
315 FULLER AVE SE # 2, GRAND RAPIDS, MI 49506-1639
(231) 360-5683
Mailing address
315 FULLER AVE SE # 2, GRAND RAPIDS, MI 49506-1639
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
05/15/2017
Last updated
05/15/2017
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