Laurie Bullerman MSOT, OTR/L
Occupational Therapist in Grand Rapids, MI(View on Map)
Full Name
Laurie Bullerman MSOT, OTR/L
NPI Number
1437651171
NPI Type
Individual Provider
Gender
Female
Enumeration Date
03/07/2018
Specialties
(Taxonomies)Licenses
State
Michigan
License Number
5201008279
Contact
Information
Purpose
Mailing
Location
Address
1401 CEDAR ST NE
1401 CEDAR ST NE
City
Grand Rapids
Grand Rapids
State
MI
MI
Postal Code
49503-1375
49503-1375
Country
US
US
Telephone Number
N/A
(616) 430-5926
Identifiers
Identifier
5201008279
Identifier State
MI
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/07/2018