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Individual

MATTHEW DELOST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OT

Contact information

Practice address
4100 LAKE DR SE STE 305, GRAND RAPIDS, MI 49546-8292
(616) 267-9200
(616) 416-1002
Mailing address
4100 LAKE DR SE STE 305, GRAND RAPIDS, MI 49546-8292
(616) 267-9200

Taxonomy

Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
5201011293
MI

Other

Enumeration date
02/23/2006
Last updated
06/21/2023
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