Individual provider · Type 1 NPI
John Mitchell Tanja, OTR
Occupational Therapist · Grand Rapids, MI
Practice location
3350 Broadmoor Avenue SE
Grand Rapids, MI 49512
Fax (616) 391-7799
Mailing address
3350 Broadmoor Ave SE
Grand Rapids, MI 49512-2867
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist | 225X00000X | None listed |
| Occupational Therapist Primary | 225X00000X | 5201003810 (MI) |
Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…
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About NPI 1235632704
John Mitchell Tanja, OTR's National Provider Identifier is 1235632704, issued on Mar 12, 2018. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Mar 12, 2018.