Individual
KATHERINE ROOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3300 36TH ST SE, GRAND RAPIDS, MI 49512-2810
(616) 942-7294
Mailing address
2025 PLAINFIELD AVE NE APT 1, GRAND RAPIDS, MI 49505-4275
(989) 292-1531
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
01/09/2020
Last updated
01/09/2020
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