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Individual

NANCY SUE HOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR,L, CHT

Contact information

Practice address
1310 E BELTLINE AVE SE, SUITE 230, GRAND RAPIDS, MI 49506-4300
(616) 288-3732
(616) 288-9857
Mailing address
1310 E. BELTLINE AVE SE, SUITE 230, GRAND RAPIDS, MI 49506
(616) 288-3732
(616) 288-9857

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
L898717
MI
225X00000X
Occupational Therapist
OT 5120
OH
225XH1200X
Hand Occupational Therapist
1011100356

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2679020
MI
01
30435
BLUE CROSS BLUE SHIELD
MI
Enumeration date
05/24/2007
Last updated
01/19/2017
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