Individual provider · Type 1 NPI

Stacy Bommelje, COTA/L

Occupational Therapy Assistant · Lansing, MI

NPI number 1437579646 Active

Practice location

731 Starkweather Dr
Lansing, MI 48917-1128

Call (517) 323-9133 Map

Fax (517) 323-0092

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X5202007780 (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 1437579646

Stacy Bommelje, COTA/L's National Provider Identifier is 1437579646, issued on Apr 27, 2014. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Lansing, MI. The record was last updated on Apr 27, 2014.