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Individual

MR. JOSEPH DAVID GRITTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
5900 BYRON CENTER AVE SW, WYOMING, MI 49519-9606
(616) 252-7200
Mailing address
1170 FARNSWORTH AVE SE, GRAND RAPIDS, MI 49546-3648
(616) 334-1746

Taxonomy

Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
5201010434
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1730133463
MI
Enumeration date
12/16/2018
Last updated
12/16/2018
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