Individual provider · Type 1 NPI

Audra Lou Kuperus, COTAL

Occupational Therapy Assistant · Grand Rapids, MI

NPI number 1225503501 Active

Practice location

3600 Fulton St E
Grand Rapids, MI 49546-1322

Call (616) 949-4971 Map

Mailing address

6351 N Broadway Rd
Freeport, MI 49325-9712

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X5202008414 (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 1225503501

Audra Lou Kuperus, COTAL's National Provider Identifier is 1225503501, issued on Oct 12, 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 Feb 13, 2020.