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

AUDRA LOU KUPERUS, COTAL

Active

AUDRA LOU KUPERUS, COTAL is a Occupational Therapy Assistant healthcare provider located in GRAND RAPIDS, Michigan. NPI 1225503501 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · GRAND RAPIDS, MI

Registration Details

NPI Number
1225503501
Provider Type
Individual
Gender
Female
NPI Issued
Oct 12, 2018 (7.8456623333562 yrs)
Last Updated
Feb 13, 2020
License
5202008414 (MI)

Practice Information

Address
3600 FULTON ST E
GRAND RAPIDS, MI, 495461322
Browse MI providers · Browse ZIP 49546
Phone
6169494971
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in GRAND RAPIDS, MI

Name Credential NPI
MRS. DIANE M DANGL COTA 1801019674
STEPHANIE ADAMS 1497956353
MRS. NIKI DIANE OLIN COTA 1740488758
MRS. STACEY MROCZKOWSKI COTA 1326288986
MRS. SUZIANNE M STANKUS COTA 1306088257
SARA VANDERROEST 1184868341
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.