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Amy Stover

Rehabilitation Practitioner in Grand Rapids, MI. Individual provider (NPI-1).

NPI number1154773364
StatusActive
Last updated in NPPESJul 12, 2016

Details

NPI
1154773364
Entity type
Individual (NPI-1)
Name
Amy Stover
Sex
Female
Sole proprietor
No
Enumeration date
Jul 12, 2016
Last updated
Jul 12, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225400000X Rehabilitation Practitioner––Yes

Practice location

775 36th St Se
Grand Rapids, MI 49548-2319

Phone 616-248-5232

Mailing address

775 36th St Se
Grand Rapids, MI 49548-2319

Phone 616-248-5232

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