Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIM ANN CORNELISSE, COTA/L
Active Sole ProprietorKIM ANN CORNELISSE, COTA/L is a Occupational Therapy Assistant healthcare provider located in GRANDVILLE, Michigan. NPI 1053898775 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · GRANDVILLE, MI
Registration Details
- NPI Number
- 1053898775
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 25, 2018 (8.014864857042 yrs)
- Last Updated
- Jul 25, 2018
- License
-
5202004084 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3400 WILSON AVE SWGRANDVILLE, MI, 494181854Browse MI providers · Browse ZIP 49418
- Phone
- 6165345487
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in GRANDVILLE, MI
| Name | Credential | NPI |
|---|---|---|
| JESSICA KIEKINTVELD | COTA | 1275988974 |
| MICHELLE LYNN BEYER | COTAL | 1417442385 |
| JODI KRAMER | — | 1013493915 |
| MRS. RITA LYNN NYKAMP | COTA/L | 1891278834 |
| LISA CREECH HOLT | — | 1821951765 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.