Kim Ann Cornelisse, COTA/L
NPI #1053898775 in Grandville, Michigan
Provider Information
- NPI Number
- 1053898775
- Entity Type
- Individual
- Name
- Kim Ann Cornelisse, COTA/L
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA/L
- Enumeration Date
- Jul 25, 2018
- Last Updated
- Jul 25, 2018
Practice Location
- Address
- 3400 WILSON AVE SW
- City
- Grandville
- State
- Michigan
- ZIP Code
- 49418-1854
- Phone
- (616) 534-5487
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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