Brook Antonson, OTR/L
Occupational Therapist in South Haven, MI. Individual provider (NPI-1).
NPI number1982107009
StatusActive
Last updated in NPPESApr 30, 2024
Details
- NPI
- 1982107009
- Entity type
- Individual (NPI-1)
- Name
- Brook Antonson
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 15, 2018
- Certification date
- Apr 30, 2024
- Last updated
- Apr 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 5201010018 | MI | Yes |
Other names
- Brook Krall (Former Name)
Practice location
04915 64th StSouth Haven, MI 49090-7323
Phone 269-929-5764
Mailing address
04915 64th StSouth Haven, MI 49090-7323
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Other Occupational Therapist providers in South Haven, MI
- Wendy BeamNPI 1821568684
- Rebecca Blaschka, MS, OTRLNPI 1285097394
- Joseph DeyoungNPI 1689227894
- Jill PriebeNPI 1710813878
- Scott Eric Smith, OTRNPI 1639730948
All 6 Occupational Therapist providers in South Haven · All 257 providers in South Haven
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