Individual
SAMANTHA REITSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
3260 EAGLE PARK DR NE, SUITE 117, GRAND RAPIDS, MI 49525-4569
(616) 530-2224
(616) 825-6164
Mailing address
1291 PARNELL AVE SE, ADA, MI 49301-8903
(616) 401-7225
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101005216
MI
Other
Enumeration date
04/01/2017
Last updated
04/01/2017
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