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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MITTEN STATE PEDIATRIC THERAPY LLC

Active Organization

MITTEN STATE PEDIATRIC THERAPY LLC is a Occupational Therapist organization located in GRAND RAPIDS, Michigan. NPI 1063021715 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · GRAND RAPIDS, MI

Registration Details

NPI Number
1063021715
Provider Type
Organization
NPI Issued
Jul 29, 2020 (6.0442555409076 yrs)
Last Updated
Sep 11, 2023

Practice Information

Address
5258 PLAINFIELD AVE NE STE A
GRAND RAPIDS, MI, 495251092
Browse MI providers · Browse ZIP 49525
Phone
6164664068
Fax
6163691646
Primary Specialty
Occupational Therapist
225X00000X
Additional Specialty
Physical Therapy Assistant
Additional Specialty
Occupational Therapist

Other Occupational Therapist Organizations in GRAND RAPIDS, MI

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.