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

Stefanie Bruinooge

Individual provider Occupational Therapy Assistant · NPI 1174915607

Stefanie Bruinooge is an Occupational Therapy Assistant in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2015.

Licensed in
MI
In the registry since
2015
Specialties on file
2

Practice location Address checks out

1490 E Beltline Ave SE
Grand Rapids, MI 49506-4336
Phone: (616) 940-0040
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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 L438061 (MI)
Rehabilitation Practitioner Taxonomy 225400000X

Record details

NPI number1174915607
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 20, 2015
Last updated in NPPESOctober 10, 2019
Mailing address1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336

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