Fenton, Mara M.

Fenton, Mara M. is an individual health care provider with primary practice located at 1490 E Beltline Ave Se , Grand Rapids MI 49506-4336. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist, which is considered as her primary health care specialty. Fenton, Mara M. can be contacted via phone (616) 940-0040.

Contact Information

Primary practice address
1490 E Beltline Ave Se Grand Rapids MI 49506-4336
Phone: (616) 940-0040
Fax: (616) 940-8151
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist 225800000X 23352 Michigan

Profile Details

NPI number 1295977916
LBN Legal business name Fenton, Mara M.
Credentials CTRS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2009
Last updated Mar 26th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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