Provider Demographics
NPI:1881939221
Name:VANBEEK, APRIL N (COTA/L)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:N
Last Name:VANBEEK
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:APRIL
Other - Middle Name:N
Other - Last Name:BRAMHALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:61 N KENWOOD ST
Mailing Address - Street 2:
Mailing Address - City:MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49442-1830
Mailing Address - Country:US
Mailing Address - Phone:231-740-4364
Mailing Address - Fax:
Practice Address - Street 1:4554 W 48TH ST
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:MI
Practice Address - Zip Code:49412-8721
Practice Address - Country:US
Practice Address - Phone:231-924-3990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-11
Last Update Date:2012-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5202007516224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant