Individual
MR. DAVID THOMAS BLANCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
15100 WHITTAKER WAY, GRAND HAVEN, MI 49417-8696
(616) 935-6280
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009764
MI
225XH1200X
Hand Occupational Therapist
5201009764
MI
Other
Enumeration date
02/22/2017
Last updated
03/07/2018
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