Female

Alyssa Douglass ORT/L

Occupational Therapist in Grand Rapids, MI(View on Map)

Full Name

Alyssa Douglass ORT/L

NPI Number

1144715731

NPI Type

Individual Provider

Gender

Female

Enumeration Date

06/26/2018

Specialties

(Taxonomies)

Code

225X00000X
106S00000X

Primary Taxonomy

Yes
No

Licenses

State

Michigan

License Number

5201011419

Contact
Information

Purpose

Mailing
Location

Address

1617 E MILHAM AVE STE B
2510 LAKE MICHIGAN DR NW

City

Portage
Grand Rapids

State

MI
MI

Postal Code

49002-3049
49504-8042

Country

US
US

Telephone Number

N/A
(616) 259-0408

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/21/2021

Provider Address

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