Individual
ASHLEY NICOLE GRANTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10601 S 72ND ST, PAPILLION, NE 68046-3407
(278) 240-2932
Mailing address
10601 S 72ND ST, PAPILLION, NE 68046-3407
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
17-04326
KS
225X00000X
Occupational Therapist
Primary
3003
NE
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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