Individual
MS. HEATHER ANNE FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
MARYWOOD, 111 LAKESIDE DR NE, GRAND RAPIDS, MI 49503
(616) 588-1645
Mailing address
1013 OAKLAWN ST NE, GRAND RAPIDS, MI 49505-3751
(269) 567-8423
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201010514
MI
Other
Enumeration date
05/06/2019
Last updated
10/02/2020
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