Great Lakes Hand Therapy PC

NPI #1073037313 in Portage, Michigan

Provider Information

NPI Number: 1073037313
Entity Type: Organization
Organization Name: Great Lakes Hand Therapy PC
Primary Specialty: Occupational Therapist
Enumeration Date: Jul 28, 2017
Last Updated: Oct 24, 2023

Practice Location

Address: 8175 CREEKSIDE DR STE 100
City: Portage
State: Michigan
ZIP Code: 49024-5370
Phone: (269) 321-3011

Authorized Official

Name: BRYAN HERDER, OT
Title: OWNER
Phone: (269) 979-0874

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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