Organization

Mitten State Pediatric Therapy Llc

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

Legal Business Name

Mitten State Pediatric Therapy Llc

NPI Number

1063021715

NPI Type

Organization

Enumeration Date

07/29/2020

Specialties

(Taxonomies)

Code

225X00000X
2081P0010X
225100000X
235Z00000X

Primary Taxonomy

Yes
No
No
No

Contact
Information

Purpose

Mailing
Location

Address

6659 CRAFTSMAN SQUARE DR NE
5258 PLAINFIELD AVE NE STE A

City

Rockford
Grand Rapids

State

MI
MI

Postal Code

49341-8861
49525-1092

Country

US
US

Telephone Number

(248) 535-4666
(616) 466-4068

Authorized Official

Name

Lindsay Dammar

Title or Position

CO-OWNER

Telephone Number

(248) 535-4666

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

Data last updated by provider on 09/11/2023

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