Mitten State Pediatric Therapy Llc
Occupational Therapist · Grand Rapids, MI
At a glance
5258 Plainfield Ave Ne Ste A, Grand Rapids, MI 49525-1092
NPPES record updated Sep 11, 2023. Public records can lag behind changes at a practice.
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- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
5258 Plainfield Ave Ne Ste AGrand Rapids, MI 49525-1092
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Occupational Therapist
- Taxonomy code
- 225X00000X
- Enumeration date
- Jul 29, 2020
- Record updated
- Sep 11, 2023
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
2081P0010X
Physical Therapist
225100000X
Occupational Therapist
225X00000X · Primary
Speech-Language Pathologist
235Z00000X
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
5258 Plainfield Ave Ne Ste AGrand Rapids, MI 49525-1092
- Phone
- (616) 466-4068
- Fax
- (616) 369-1646
Mailing address
6659 CRAFTSMAN SQUARE DR NEROCKFORD, MI 493418861
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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