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NPI Code Detail

MEDICARE: MRS. MARY KLINTER OTR/L

MEDICARE: MRS. MARY KLINTER OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist5201007102MI

General Provider Information

NPI Number : 1316433691
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARY KLINTER OTR/L
Provider Business Mailing Address
First Line : 11361 144TH AVE
Second Line :
City : WEST OLIVE
State : MI
Zip : 49460-9624
Country : US
Telephone Number : 231-343-3075
Fax Number :
Provider Business Practice Location Address
First Line : 900 S BEACON BLVD
Second Line :
City : GRAND HAVEN
State : MI
Zip : 49417-2146
Country : US
Telephone Number : 616-296-7329
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2018
Last Update Date : 07/10/2018

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Directions to “ MRS. MARY KLINTER OTR/L” Practice Location

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