MRS. Elise Renee Dirkse, OTR/L

NPI #1114201449 in Jenison, Michigan

Provider Information

NPI Number: 1114201449
Entity Type: Individual
Name: MRS. Elise Renee Dirkse, OTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Oct 5, 2011
Last Updated: Oct 5, 2011

Practice Location

Address: 7086 8TH AVE
City: Jenison
State: Michigan
ZIP Code: 49428-9352
Phone: (616) 667-9551

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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