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Individual

MADELINE OLIVIA WAIT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTRL

Contact information

Practice address
5900 BYRON CENTER AVE SW, WYOMING, MI 49519-9606
(616) 252-5014
Mailing address
1861 32ND AVE, HUDSONVILLE, MI 49426-9665

Taxonomy

Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary

Other

Enumeration date
05/03/2023
Last updated
05/03/2023
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