Individual
KAREN HANENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1221 E 16TH ST, HOLLAND, MI 49423-9127
(616) 396-7095
Mailing address
1221 E 16TH ST, HOLLAND, MI 49423-9127
(616) 396-7095
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202001010
MI
Other
Enumeration date
10/08/2015
Last updated
10/08/2015
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