Individual
KIMBERLY HARTGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1551 FRANKLIN ST SE, GRAND RAPIDS, MI 49506-8203
(616) 452-1568
Mailing address
1412 MATILDA ST NE, GRAND RAPIDS, MI 49503-1346
Taxonomy
Speciality
Code
Description
License number
State
226000000X
Recreational Therapist Assistant
Primary
—
—
Other
Enumeration date
05/20/2020
Last updated
05/20/2020
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