Samantha Kay Rastall
NPI #1003441189 in Grand Rapids, Michigan
Provider Information
- NPI Number
- 1003441189
- Entity Type
- Individual
- Name
- Samantha Kay Rastall
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Mar 9, 2020
- Last Updated
- Mar 10, 2020
Practice Location
- Address
- 1490 E BELTLINE AVE SE
- City
- Grand Rapids
- State
- Michigan
- ZIP Code
- 49506-4336
- Phone
- (616) 248-5205
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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