Mr. Kenneth C. Smith OTR/L
Occupational Therapist in Grand Rapids, MI(View on Map)
Full Name
Mr. Kenneth Charles Smith OTR/L
NPI Number
1184125783
NPI Type
Individual Provider
Gender
Male
Enumeration Date
02/28/2018
Specialties
(Taxonomies)Licenses
State
Michigan
License Number
5201002265
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) 840-8559
(616) 840-8559
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 02/28/2018