Individual
MS. SHELLY HENNINK DAVIS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1111 LEFFINGWELL AVE NE, SUITE 210, GRAND RAPIDS, MI 49525-6406
(616) 949-5061
(616) 949-5599
Mailing address
735 FIRESTONE DR SE, BYRON CENTER, MI 49315-8478
(616) 656-0037
(616) 949-5599
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
5201000680
MI
Other
Enumeration date
05/10/2006
Last updated
07/08/2007
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