Elise Renee Dirkse, OTR/L
Occupational Therapist in Jenison, MI. Individual provider (NPI-1).
NPI number1114201449
StatusActive
Last updated in NPPESOct 5, 2011
Details
- NPI
- 1114201449
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Elise Renee Dirkse
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 5, 2011
- Last updated
- Oct 5, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 5201000987 | MI | Yes |
Practice location
7086 8th AveJenison, MI 49428-9352
Phone 616-667-9551 · Fax 616-667-9552
Mailing address
1074 28th AveHudsonville, MI 49426-9630
Phone 616-896-6484
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All 12 Occupational Therapist providers in Jenison · All 435 providers in Jenison
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