Lori Lee Bultinck
Occupational Therapist - Physical Rehabilitation
4118 Kalamazoo Ave Se
Grand Rapids
, Michigan 49508-3605
Lori Lee Bultinck
Occupational Therapist - Physical Rehabilitation
4118 Kalamazoo Ave Se
Grand Rapids
, Michigan 49508-3605
(616) 291-7301
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About
Features
Specialties
- Occupational Therapist - Physical Rehabilitation
Languages spoken
- English
Location
First Address
- Lori Lee Bultinck
- 2497 Bluewater Ct Sw
- Grandville, MI
- Zip : 49418-1150
- Phone : (616) 291-7301
Second Address
- Lori Lee Bultinck
- 4118 Kalamazoo Ave Se
- Grand Rapids, MI
- Zip : 49508-3605
- Phone : (616) 455-7300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 5201006053 | MI |
National Provider Identifier
| NPI | 1396248597 |
|---|---|
| Provider Name | Lori Lee Bultinck |
| First Address | Grandville, MI 49418-1150 |
| Second Address | Grand Rapids, MI 49508-3605 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/03/2018 |
| Last Update Date | 14/03/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.