Individual
MRS. ALICIA JEAN SHEERAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA, COTA
Contact information
Practice address
1471 GRACE ST SE, GRAND RAPIDS, MI 49506-1678
(616) 913-2006
(616) 913-2005
Mailing address
1471 GRACE ST SE, GRAND RAPIDS, MI 49506-1678
(616) 913-2006
(616) 913-2005
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
5202006980
MI
225200000X
Physical Therapy Assistant
Primary
5502002799
MI
Other
Enumeration date
08/08/2012
Last updated
08/08/2012
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