Individual
IAN HEINKELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1840 WEALTHY ST SE, GRAND RAPIDS, MI 49506-2921
(616) 774-7444
Mailing address
1840 WEALTHY ST SE, GRAND RAPIDS, MI 49506-2921
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201010329
MI
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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