Individual
MARY ALLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2067 WOODBURN DR SE APT 10, GRAND RAPIDS, MI 49546-4378
(616) 550-5427
Mailing address
2067 WOODBURN DR SE APT 10, GRAND RAPIDS, MI 49546-4378
(616) 550-5427
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
60068
MI
Other
Enumeration date
04/21/2025
Last updated
04/21/2025
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