Individual
RACHEL WISNIEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
235 WEALTHY ST SE, GRAND RAPIDS, MI 49503-5247
(616) 840-8000
Mailing address
2939 WILSON AVE SW, GRANDVILLE, MI 49418-3502
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5201013357
LARA
MI
Enumeration date
10/02/2023
Last updated
10/02/2023
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