Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stacey Michelle Vandenberge, OTR

Individual provider Occupational Therapist · NPI 1265186233

Stacey Michelle Vandenberge, OTR is an Occupational Therapist in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2022.

Licensed in
MI
In the registry since
2022
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

2922 Fuller Ave NE Ste 105
Grand Rapids, MI 49505-3459
Phone: (616) 327-6191
Fax: (616) 333-4928
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 5201012832 (MI)

Record details

NPI number1265186233
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorNo
NPI enumeratedFebruary 9, 2022
Last updated in NPPESJanuary 28, 2026
Certification dateJanuary 28, 2026

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