Audra Lou Kuperus, COTAL
Audra Lou Kuperus, COTAL is an Occupational Therapy Assistant in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2018.
- Licensed in
- MI
- In the registry since
- 2018
Practice location Address checks out
3600 Fulton St EGrand Rapids, MI 49546-1322
Phone: (616) 949-4971
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapy Assistant (primary) | Taxonomy 224Z00000X · Licence 5202008414 (MI) |
|---|
Record details
| NPI number | 1225503501 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | COTAL |
| Sole proprietor | No |
| NPI enumerated | October 12, 2018 |
| Last updated in NPPES | February 13, 2020 |
| Certification date | February 13, 2020 |
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