Individual provider · Type 1 NPI

Lisa Marie Shimp, COTA/L

Occupational Therapy Assistant · Grand Rapids, MI

NPI number 1154896827 Active

Practice location

111 Lakeside Dr NE
Grand Rapids, MI 49503-3811

Call (616) 588-1645 Map

Mailing address

9262 160th Ave
West Olive, MI 49460-9193

Other practice locations

  • 3600 Fulton St E, Grand Rapids, MI 49546-1322 · (616) 949-4971
  • 280 W 40th St, Holland, MI 49423-4664 · (616) 990-0970
  • 1551 Franklin St SE, Grand Rapids, MI 49506-8203 · (616) 452-1568

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X5202007926 (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 1154896827

Lisa Marie Shimp, COTA/L's National Provider Identifier is 1154896827, issued on Oct 9, 2018. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Oct 9, 2018.