Individual provider · Type 1 NPI

Mallory Jo Maye Mundy, COTA/L

Occupational Therapy Assistant · Grand Rapids, MI

NPI number 1497580112 Active

Practice location

3300 36th St SE
Grand Rapids, MI 49512-2810

Mailing address

3048 Rockton Cir
Hudsonville, MI 49426-7602

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X5202010211 (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 1497580112

Mallory Jo Maye Mundy, COTA/L's National Provider Identifier is 1497580112, issued on Sep 3, 2024. 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 Mar 26, 2025.