Individual provider · Type 1 NPI

Tara Lynn Koronkiewicz, OTR/L

Occupational Therapist · Grand Rapids, MI

NPI number 1790286656 Active

Practice location

2589 44th St SE
Grand Rapids, MI 49512-3877

Call (616) 643-2500 Map

Other practice locations

  • 2589 44th St SE, Grand Rapids, MI 49512-3877 · (616) 643-2500

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X5201005004 (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…

6 other providers at this address

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About NPI 1790286656

Tara Lynn Koronkiewicz, OTR/L's National Provider Identifier is 1790286656, issued on Feb 26, 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 Mar 17, 2018.