Individual
MACKENZIE MARIE OMNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2855 44TH ST SW, GRANDVILLE, MI 49418-2682
(616) 253-6061
Mailing address
2855 44TH ST SW, GRANDVILLE, MI 49418-2682
(616) 253-6061
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
11/15/2022
Last updated
11/15/2022
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