Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Tara Lynn Koronkiewicz, OTR/L

Individual provider Occupational Therapist · NPI 1790286656

Mrs. Tara Lynn Koronkiewicz, OTR/L is an Occupational Therapist in Grand Rapids, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2018
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

2589 44th St SE
Grand Rapids, MI 49512-3877
Phone: (616) 643-2500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2589 44th St Se, Grand Rapids, MI 49512-3877 — (616) 643-2500

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 5201005004 (MI)

Record details

NPI number1790286656
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedFebruary 26, 2018
Last updated in NPPESMarch 17, 2018

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