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Contact Information

BRENDA S VANDENBERG, C.O.T.A
2786 56TH ST
TENDERCARE WYOMING
WYOMING, MI49418
 Phone: 616-261-3960
 Fax: 616-261-3925
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for BRENDA S VANDENBERG · (Female)

NPI Number 1669803094
Status Active
Credentials C.O.T.A
Entity Individual
Enumeration date 12/11/2013
Last updated 12/11/2013 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5202006468
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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