Individual
RACHEL VANDEVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5652 MARYLOUISE ST, LANSING, MI 48917-7501
(616) 443-9011
Mailing address
5652 MARYLOUISE ST, LANSING, MI 48917-7501
(616) 443-9011
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201008442
MI
Other
Enumeration date
04/29/2014
Last updated
04/29/2014
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