Individual
EMILY WALCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS, ATRIC
Contact information
Practice address
561 PARKSIDE AVE NW, GRAND RAPIDS, MI 49534-3410
(616) 828-5492
(855) 207-3270
Mailing address
PO BOX 1053, ADA, MI 49301-1053
(616) 828-5492
(855) 207-3270
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
MI
Other
Enumeration date
06/13/2018
Last updated
06/13/2018
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