Individual
JACLYN GRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9326 FLORIDA ST, LIVONIA, MI 48150-3800
(248) 724-8523
Mailing address
9326 FLORIDA ST, LIVONIA, MI 48150-3800
(248) 724-8523
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009283
MI
Other
Enumeration date
09/17/2015
Last updated
03/04/2021
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