Individual
MR. DAVID JACK PIETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
7686 BRETON AVE SE, CALEDONIA, MI 49316-9124
(616) 698-9479
Mailing address
7686 BRETON AVE SE, CALEDONIA, MI 49316-9124
(616) 698-9479
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201000303
MI
Other
Enumeration date
05/07/2009
Last updated
05/07/2009
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