Female

Jessica Damveld OTR

Specialist in Grand Rapids, MI(View on Map)

Full Name

Jessica Damveld OTR

NPI Number

1245634674

NPI Type

Individual Provider

Gender

Female

Enumeration Date

10/14/2014

Specialties

(Taxonomies)

Code

174400000X
225X00000X

Primary Taxonomy

Yes
No

Licenses

State

Michigan

License Number

5201008895

Contact
Information

Purpose

Mailing
Location

Address

806 OAK SUMMIT CT
2100 RAYBROOK ST SE STE 303

City

Middleville
Grand Rapids

State

MI
MI

Postal Code

49333-7094
49546-5783

Country

US
US

Telephone Number

N/A
(616) 235-4663

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

Data last updated by provider on 07/27/2024

Provider Address

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