Individual
PAMELA GOUDZWAARD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OTR, CHT
Contact information
Practice address
1535 44TH ST SW, SUITE 300, WYOMING, MI 49509-4481
(616) 530-1977
Mailing address
2234 SYLVAN AVE SE, GRAND RAPIDS, MI 49506-5253
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
5201000826
MI
Other
Enumeration date
02/23/2006
Last updated
07/08/2007
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