Individual
MRS. MICHELLE RENEE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1620 SUNVIEW ST, MUSKEGON, MI 49445-1122
(231) 288-9520
Mailing address
1620 SUNVIEW ST, MUSKEGON, MI 49445-1122
(231) 288-9520
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5202004197
MI
Other
Enumeration date
11/01/2012
Last updated
11/01/2012
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