Individual
LINDSEY VANDERKOOI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1490 E BELTLINE AVE SE, GRAND RAPIDS, MI 49506-4336
(616) 940-0040
Mailing address
4042 CHAMBERLAIN AVE SE, GRAND RAPIDS, MI 49508-2616
(616) 450-8463
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
67457
—
Other
Enumeration date
05/14/2016
Last updated
05/14/2016
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