Individual
MRS. REBECCA MAE BYLSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR
Contact information
Practice address
630 KENMOOR AVE SE, GRAND RAPIDS, MI 49546
(616) 975-6200
(616) 975-5400
Mailing address
1400 BECKWITH AVE NE, GRAND RAPIDS, MI 49505-5812
(616) 458-1962
(616) 452-7894
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201000134
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952512576
—
MI
Enumeration date
05/25/2007
Last updated
10/08/2018
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