Individual
MIRANDA KATE GRECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
60 WOOD ST, PAINESVILLE, OH 44077-3332
(440) 352-0788
Mailing address
5429 BLAIR RD, PAINESVILLE, OH 44077-9747
(440) 665-4770
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
402875
OH
Other
Enumeration date
09/26/2018
Last updated
09/26/2018
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