Individual
MISS SUSAN ELIZABETH PLASMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
1471 GRACE ST SE, GRAND RAPIDS, MI 49506-1678
(616) 913-3074
(616) 913-2005
Mailing address
1471 GRACE ST SE, GRAND RAPIDS, MI 49506-1678
(616) 913-3074
(616) 913-2005
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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