Individual
LORI OVERBEEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4697 MILLHAVEN DR SE, KENTWOOD, MI 49548-7503
(616) 550-2893
Mailing address
4697 MILLHAVEN DR SE, KENTWOOD, MI 49548-7503
(616) 550-2893
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201001477
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508845066
—
MI
Enumeration date
07/10/2018
Last updated
07/10/2018
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