Individual provider · Type 1 NPI

Jack Emmendorfer

Occupational Therapy Assistant · Chesterfield, MI

NPI number 1427831247 Active

Practice location

33875 Kiely Dr
Chesterfield, MI 48047-3604

Call (586) 725-6030 Map

Mailing address

53206 Mark Dr
Shelby Township, MI 48316-2371

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X5202010112 (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 1427831247

Jack Emmendorfer's National Provider Identifier is 1427831247, issued on Aug 15, 2023. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Chesterfield, MI. The record was last updated on Aug 15, 2023.