Individual
KAREN AMAL FARHAT-HENDRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
3683 MAPLEBROOK DR NW, GRAND RAPIDS, MI 49534-2709
(616) 204-5293
Mailing address
3683 MAPLEBROOK DR NW, GRAND RAPIDS, MI 49534-2709
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201006651
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5201006651
—
MI
Enumeration date
04/09/2018
Last updated
04/09/2018
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