NPI 1063802809

Carrie Stephens, CTRS

Practitioner Recreation Therapist Wyoming, MI

Practice location

Address: 3353 Lousma Dr SE, Wyoming, MI 49548-2251
Phone: (616) 241-6258

Registered specialties

Recreation Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X Licence 52286

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Registry record

NPI: 1063802809
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Feb 2015
Record last updated: 5 Feb 2015

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.