Home Connection Therapy LLC
Occupational Therapist in Grand Rapids, MI. Organization (NPI-2).
NPI number1265005151
StatusActive
Last updated in NPPESAug 23, 2024
Details
- NPI
- 1265005151
- Entity type
- Organization (NPI-2)
- Legal business name
- Home Connection Therapy LLC
- Organization subpart
- No
- Enumeration date
- Jul 20, 2021
- Certification date
- Aug 23, 2024
- Last updated
- Aug 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | – | – | Yes |
| 225100000X | Physical Therapist | – | – |
Practice location
1232 Griswold St SeGrand Rapids, MI 49507-3815
Phone 616-890-8660
Mailing address
1232 Griswold St SeGrand Rapids, MI 49507-3815
Phone 616-890-8660
Authorized official
Lauren Vanderlaan
Managing Member / Owner
6168908660
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