Individual
MARIE LOUISE DENHERDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2161 LEONARD ST NW, GRAND RAPIDS, MI 49504-3829
(616) 453-7715
(616) 735-0633
Mailing address
862 PINNACLE RUN DR SE, GRAND RAPIDS, MI 49546-8342
(616) 956-6818
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201001552
MI
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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