Individual
MRS. CHELSEA DIANE BRUINSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1305 WALKER AVE NW, GRAND RAPIDS, MI 49504-4098
(616) 419-3095
(616) 419-3147
Mailing address
11877 RITCHIE AVE NE, CEDAR SPRINGS, MI 49319-9400
(616) 560-2987
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/11/2014
Last updated
07/11/2014
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