# LISA M GRANTMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1508809187
- **Gender:** F
- **Credential:** OTR

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | 056005527 | IL | Yes |
| 225X00000X | Occupational Therapist | OTH-008633 | AZ | Yes |

## Other

- **Enumeration date:** 06/13/2006
- **Last updated:** 07/09/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 056005527 | LICENSE | IL |