Organization
GRAND RAPIDS THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY GALLEGOS (MANAGER BILLING)
(517) 483-2461
Entity
Organization
Contact information
Practice address
3501 LAKE EASTBROOK BLVD SE, STE 280, GRAND RAPIDS, MI 49546-5938
(517) 202-9123
(517) 323-9531
Mailing address
3501 LAKE EASTBROOK BLVD SE, STE 280, GRAND RAPIDS, MI 49546-5938
(517) 202-9123
(517) 323-9531
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801088826
MI
Other
Enumeration date
10/09/2015
Last updated
10/09/2015
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