Individual
MRS. GINA KATHLEEN CHESLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3400 WILSON AVE SW, GRANDVILLE, MI 49418-1854
(616) 534-5487
Mailing address
10809 LOVERS LN NW, GRAND RAPIDS, MI 49534
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201003164
MI
Other
Enumeration date
06/07/2018
Last updated
06/07/2018
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