Individual
ALLISON SOUKUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2505 ARDMORE ST SE, GRAND RAPIDS, MI 49506-4924
(616) 559-1054
(616) 559-1056
Mailing address
2505 ARDMORE ST SE, GRAND RAPIDS, MI 49506-4924
(616) 559-1054
(616) 559-1056
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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