Individual
LYNDSEY KOOISTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
308 S MAIN, CEDAR SPRINGS, MI 49319-8925
(616) 696-6555
Mailing address
141 S 2ND ST, CEDAR SPRINGS, MI 49319-8919
(616) 893-9220
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201007606
MI
Other
Enumeration date
12/05/2010
Last updated
12/05/2010
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