Individual
BECKY LYNNE KORTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
7630 PIERCE ST, ALLENDALE, MI 49401-9759
(616) 895-4801
(616) 895-4801
Mailing address
7630 PIERCE ST, ALLENDALE, MI 49401-9759
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202007959
MI
Other
Enumeration date
01/22/2018
Last updated
01/22/2018
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