Individual provider · Type 1 NPI

Jesse Bryan Nicodemus, MOT

Occupational Therapist · Grand Rapids, MI

NPI number 1386114734 Active

Practice location

2320 E Beltline Ave SE
Grand Rapids, MI 49546-5906

Call (616) 831-8666 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X201009340 (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 1386114734

Jesse Bryan Nicodemus, MOT's National Provider Identifier is 1386114734, issued on Nov 28, 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 Nov 28, 2018.