Organization
MAKING WAVES PEDIATRIC THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZOEY DEKKER OTRL (OCCUPATIONAL THERAPIST)
(269) 779-1380
Entity
Organization
Contact information
Practice address
14482 TUPELO DR, WEST OLIVE, MI 49460-8621
(269) 779-1380
Mailing address
14482 TUPELO DR, WEST OLIVE, MI 49460-8621
(269) 779-1380
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
12/02/2024
Last updated
03/06/2025
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