Individual
MR. JAMES MICHAEL VUGTEVEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS,OTR/L
Contact information
Practice address
10263 CHICAGO DR, ZEELAND, MI 49464-1416
(616) 822-1117
Mailing address
3900 RIVERBEND DR SW, GRAND RAPIDS, MI 49534-6611
(616) 822-1117
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5201005965
MI
Other
Enumeration date
08/31/2012
Last updated
09/12/2019
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