NPI 1003345455

Collette Victoria Pratt

Practitioner Rehabilitation Practitioner Grand Rapids, MI

Practice location

Address: 1490 East Beltline Ave SE, Grand Rapids, MI 49506
Phone: (517) 927-0048
Mailing address: 1490 E Beltline Ave SE, Grand Rapids, MI 49506-4336

Registered specialties

Rehabilitation Practitioner Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X

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Registry record

NPI: 1003345455
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Jun 2017
Record last updated: 8 Jun 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.