Individual provider · Type 1 NPI

Evan Michael Braedon I

Occupational Therapy Assistant · Lansing, MI

NPI number 1669936589 Active

Practice location

3315 E Michigan Ave Ste 4
Lansing, MI 48912-4345

Call (517) 364-8600 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X5202007978 (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 1669936589

Evan Michael Braedon I's National Provider Identifier is 1669936589, issued on Jan 24, 2019. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Lansing, MI. The record was last updated on Jan 24, 2019.