NPI 1053898775

Kim Ann Cornelisse, COTAL

Practitioner Occupational Therapy Assistant Grandville, MI

Practice location

Address: 3400 Wilson Ave SW, Grandville, MI 49418-1854
Phone: (616) 534-5487

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 5202004084 (MI)

Other Occupational Therapy Assistant providers in Michigan →

Registry record

NPI: 1053898775
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Jul 2018
Record last updated: 25 Jul 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.