IndividualActive
Amanda Kornelson, COTAL
NPI 1942889043 · Occupational Therapy Assistant · Shelby Township, MI
Provider details
- NPI number
- 1942889043
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTAL
- Sex
- Female
- Sole proprietor
- No
- License
- 5202008686 (MI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
15023 21 Mile Rd
Shelby Township, MI 48315-5024
Phone: (586) 286-9644
Approximate (ZIP-level) locationGet directions
Mailing address
15023 21 Mile Rd
Shelby Township, MI 48315-5024
Registry dates
- Enumerated
- 2021-04-06
- Last updated
- 2021-04-06
- Certified
- 2021-04-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.