Mitten State Pediatric Therapy LLC
Mitten State Pediatric Therapy LLC is a Pediatric Rehabilitation Medicine Physician in Grand Rapids, Michigan. Registered with an NPI since 2020.
- In the registry since
- 2020
- Specialties on file
- 4
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
5258 Plainfield Ave NE Ste AGrand Rapids, MI 49525-1092
Phone: (616) 466-4068
Fax: (616) 369-1646
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X |
|---|---|
| Pediatric Rehabilitation Medicine Physician | Taxonomy 2081P0010X |
| Physical Therapist | Taxonomy 225100000X |
| Speech-Language Pathologist | Taxonomy 235Z00000X |
Record details
| NPI number | 1063021715 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lindsay Dammar — Co-Owner · (248) 535-4666 |
| NPI enumerated | July 29, 2020 |
| Last updated in NPPES | September 11, 2023 |
| Certification date | September 11, 2023 |
| Mailing address | 6659 Craftsman Square Dr Ne, Rockford, MI 49341-8861 |
Other providers in Grand Rapids
-
Douglas E Henry, MD
235 Wealthy St SE, Grand Rapids, MI 49503-5247 · (616) 840-8005
-
Andrea S Kuldanek, MD
235 Wealthy St SE, Grand Rapids, MI 49503-5247 · (616) 840-8005