Female

Jennica C. Richards MS, OTRL

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

Full Name

Jennica Christine Richards MS, OTRL

NPI Number

1306681812

NPI Type

Individual Provider

Gender

Female

Enumeration Date

06/26/2024

Specialties

(Taxonomies)

Code

225X00000X

Primary Taxonomy

Yes

Licenses

State

Michigan

License Number

5201008927

Contact
Information

Purpose

Mailing
Location

Address

2644 BELFAST AVE SE
2644 BELFAST AVE SE

City

Grand Rapids
Grand Rapids

State

MI
MI

Postal Code

49507-3951
49507-3951

Country

US
US

Telephone Number

(989) 912-0390
(989) 912-0390

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

Data last updated by provider on 08/07/2024

Provider Address

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