NPI 1053829895

Jonathan Nicholas Cornell

Practitioner Occupational Therapy Assistant Grand Rapids, MI

Practice location

Address: 3300 36th St SE, Grand Rapids, MI 49512-2810
Phone: (616) 942-2110

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 5202008279 (MI)

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Registry record

NPI: 1053829895
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Jan 2018
Record last updated: 15 Jan 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.