Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kim Ann Cornelisse, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1053898775

Kim Ann Cornelisse, COTA/L is an Occupational Therapy Assistant in Grandville, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2018
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

3400 Wilson Ave SW
Grandville, MI 49418-1854
Phone: (616) 534-5487
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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 5202004084 (MI)

Record details

NPI number1053898775
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorYes
NPI enumeratedJuly 25, 2018
Last updated in NPPESJuly 25, 2018

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