Individual provider · Type 1 NPI

Audrey Maynard, OTR/L

Occupational Therapist · Grand Rapids, MI

NPI number 1992665178 Active

Practice location

235 Wealthy St SE
Grand Rapids, MI 49503-5247

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X5201014366 (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…

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About NPI 1992665178

Audrey Maynard, OTR/L's National Provider Identifier is 1992665178, issued on Nov 12, 2025. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Nov 12, 2025.