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Individual

PAMELA JEAN WOODRUFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4450 CASCADE RD SE, GRAND RAPIDS, MI 49546-3633
(616) 949-5140
Mailing address
5259 DISCOVERY DR SE, KENTWOOD, MI 49508-6394
(616) 886-6119

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201001692
MI

Other

Enumeration date
11/15/2019
Last updated
11/15/2019
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