Individual
SAVANNAH BOOMSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1662 MORNING DEW DR SW, APT. 2, BYRON CENTER, MI 49315-8439
(616) 901-3671
Mailing address
620 MICHIGAN ST NE, APT. 2, GRAND RAPIDS, MI 49503-3449
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
10/21/2016
Last updated
10/21/2016
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