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KAYLA VANDENBOOM CTRS

>> Recreation Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1720522121

Individual Registrant:
 KAYLA  VANDENBOOM CTRS
Gender: F
Sole Proprietor

Location and contact information for practice:
9948 CENTER ST  REESE, MI 48757-9547 US
Tel: 989-297-0042  Fax: --

Contact information for business:
9948 CENTER ST  REESE, MI 48757-9547 US
Tel: --  Fax: --

Registration Information:
NPI: 1720522121
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225800000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Recreation Therapist
MI59652

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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