Individual
LINDA HERTSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6120 STADIUM DR STE 100, KALAMAZOO, MI 49009-3022
(269) 663-2201
Mailing address
17431 LAKEVIEW DR, VANDALIA, MI 49095-8769
(269) 625-4102
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588642110
—
MI
Enumeration date
12/20/2018
Last updated
12/20/2018
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