Individual provider · Type 1 NPI

Mary Vanderwal, COTAL, DOR

Occupational Therapy Assistant · Grand Rapids, MI

NPI number 1821554031 Active

Practice location

2320 E Beltline Ave SE
Grand Rapids, MI 49546-5906

Call (616) 831-8643 Map

Mailing address

9199 Whitneyville Ave SE
Alto, MI 49302-9567

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X5202004267 (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 1821554031

Mary Vanderwal, COTAL, DOR's National Provider Identifier is 1821554031, issued on Feb 12, 2019. 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 Feb 12, 2019.