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

Individual provider Occupational Therapist · NPI 1861006728

Tara Ann Fedewa, OTR/L is an Occupational Therapist in East Lansing, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2020
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

4660 S Hagadorn Rd Ste 400
East Lansing, MI 48823-5353
Phone: (517) 355-7648
Fax: (517) 432-1319
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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 5201013965 (MI)

Record details

NPI number1861006728
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedSeptember 8, 2020
Last updated in NPPESNovember 12, 2024
Certification dateNovember 12, 2024

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