Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EVAN MICHAEL BRAEDON I
Active Sole ProprietorEVAN MICHAEL BRAEDON I is a Occupational Therapy Assistant healthcare provider located in LANSING, Michigan. NPI 1669936589 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · LANSING, MI
Registration Details
- NPI Number
- 1669936589
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 24, 2019 (7.5846537141095 yrs)
- Last Updated
- Jan 24, 2019
- License
-
5202007978 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3315 E MICHIGAN AVE STE 4LANSING, MI, 489124345Browse MI providers · Browse ZIP 48912
- Phone
- 5173648600
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in LANSING, MI
| Name | Credential | NPI |
|---|---|---|
| KIMBERLY REENEE BAKER | COTA/L | 1700115193 |
| JEANNE MONIQUE VANDER WAAL | COTAL | 1427325190 |
| AUDREY THELEN | COTA/L | 1063842946 |
| CRAIG DOUGLAS MOREA | C.O.T.A. | 1992127898 |
| STACY BOMMELJE | COTA/L | 1437579646 |
| KARINN SWAIN | — | 1841687779 |
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.