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NPI Code Detail

MEDICARE: ROBERT VANDERMEER OTR

MEDICARE:   ROBERT  VANDERMEER  OTR
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 Therapist5201006700MI

General Provider Information

NPI Number : 1457319865
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT VANDERMEER OTR
Provider Business Mailing Address
First Line : 875 W SUMMIT AVE
Second Line :
City : MUSKEGON
State : MI
Zip : 49441-4047
Country : US
Telephone Number : 231-755-6951
Fax Number : 231-755-4507
Provider Business Practice Location Address
First Line : 875 W SUMMIT AVE
Second Line :
City : MUSKEGON
State : MI
Zip : 49441-4047
Country : US
Telephone Number : 231-755-6951
Fax Number : 231-755-4507
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2006
Last Update Date : 03/06/2008

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Directions to “ ROBERT VANDERMEER OTR” Practice Location

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