Individual
CAROLINE JUSTINE EASTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3300 36TH ST SE, GRAND RAPIDS, MI 49512-2810
(616) 942-2110
Mailing address
4342 BELGRAVE ST, WAYLAND, MI 49348-9189
(616) 822-0913
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
418642
MI
Other
Enumeration date
04/05/2019
Last updated
09/04/2019
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