Individual provider · Type 1 NPI

Kim Ann Cornelisse, COTA/L

Occupational Therapy Assistant · Grandville, MI

NPI number 1053898775 Active

Practice location

3400 Wilson Ave SW
Grandville, MI 49418-1854

Call (616) 534-5487 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X5202004084 (MI)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1053898775

Kim Ann Cornelisse, COTA/L's National Provider Identifier is 1053898775, issued on Jul 25, 2018. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Grandville, MI. The record was last updated on Jul 25, 2018.