# ANNE GRADY CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Anne Grady Outpatient Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285988717
- **Authorized official:** STEVEN KING (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (419) 866-6500

## Contact information

- **Practice address:** 1525 EBER RD, HOLLAND, OH 43528-9616
- **Practice address phone:** (419) 866-6500
- **Practice address fax:** (419) 866-7457
- **Mailing address:** 1525 EBER RD, HOLLAND, OH 43528-9616
- **Mailing address phone:** (419) 866-6500
- **Mailing address fax:** (419) 866-7457

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | — | NULL | Yes |

## Other

- **Enumeration date:** 11/06/2012
- **Last updated:** 04/15/2022