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Rachel Augustine

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

NPI number1497296644
StatusActive
Last updated in NPPESMar 20, 2017

Details

NPI
1497296644
Entity type
Individual (NPI-1)
Name
Rachel Augustine
Sex
Female
Sole proprietor
No
Enumeration date
Mar 20, 2017
Last updated
Mar 20, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225400000X Rehabilitation Practitioner––Yes

Other names

  • Rachel Deruiter (Former Name)

Practice location

891 Maryland Ave Ne
Grand Rapids, MI 49505-6005

Phone 616-608-7772

Mailing address

891 Maryland Ave Ne
Grand Rapids, MI 49505-6005

Phone 616-608-7772

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