Chanel Raddatz OTR/L
Occupational Therapist in Grand Rapids, MI(View on Map)
Full Name
Chanel Raddatz OTR/L
NPI Number
1063831725
NPI Type
Individual Provider
Gender
Female
Enumeration Date
04/09/2014
Specialties
(Taxonomies)Code
225X00000X
225400000X
Primary Taxonomy
Yes
No
Licenses
State
Michigan
License Number
5201010174
Contact
Information
Purpose
Mailing
Location
Address
235 WEALTHY ST SE
235 WEALTHY ST SE
City
Grand Rapids
Grand Rapids
State
MI
MI
Postal Code
49503-5247
49503-5247
Country
US
US
Telephone Number
(616) 840-8000
(616) 840-8000
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/09/2023
Provider Address
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