Mrs. Mary Vanderwal, COTAL, DOR
Mrs. Mary Vanderwal, COTAL, DOR is an Occupational Therapy Assistant in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.
- Licensed in
- MI
- In the registry since
- 2019
Practice location Address checks out
2320 E Beltline Ave SEGrand Rapids, MI 49546-5906
Phone: (616) 831-8643
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapy Assistant (primary) | Taxonomy 224Z00000X · Licence 5202004267 (MI) |
|---|
Record details
| NPI number | 1821554031 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | COTAL , DOR |
| Sole proprietor | Yes |
| NPI enumerated | February 12, 2019 |
| Last updated in NPPES | February 12, 2019 |
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