Individual
MATT WALTER GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1356 SPENCERVILLE HICKSVILL RD, HICKSVILLE, OH 43526-9712
(419) 769-4348
Mailing address
1356 SPENCERVILLE HICKSVILL RD, HICKSVILLE, OH 43526-9712
(419) 769-4348
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/20/2022
Last updated
10/20/2022
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