Individual
DANA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
750 FULLER AVE NE, GRAND RAPIDS, MI 49503-1918
(616) 487-2748
Mailing address
750 FULLER AVE NE, GRAND RAPIDS, MI 49503-1918
(616) 486-7248
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201007493
MI
Other
Enumeration date
03/09/2018
Last updated
03/09/2018
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