Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XG0600X | Occupational Therapist - Gerontology | 5201002150 | MI |
NPI | 1396230181 |
---|---|
Provider Name | Mrs. Marilyn J Helmers |
First Address | Allendale, MI 49401-9213 |
Second Address | Allendale, MI 49401 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2018 |
Last Update Date | 10/08/2018 |