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Individual

COURTNEY VANDERHAEGEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
19811 BEECHWOOD DR, MACOMB, MI 48044-5714
(586) 913-6505
Mailing address
19811 BEECHWOOD DR, MACOMB, MI 48044-5714

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202007447
MI

Other

Enumeration date
11/10/2020
Last updated
11/10/2020
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