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Individual
SANDRA L GRADY
Active
Individual
SANDRA L GRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
1660-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1660-24
OT NEUROREHAB
WI
Enumeration date
07/21/2006
Last updated
07/08/2007
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