Organization
JACLYN GRAD OT LLC
Active
Other names
Grow With Me OT
Organization subpart
No
Provider details
NPI number
Authorized official
JACLYN GRAD OTRL (OCCUPATIONAL THERAPIST)
(734) 292-1860
Entity
Organization
Contact information
Practice address
11325 BLACKBURN ST, LIVONIA, MI 48150-2853
(734) 292-1860
Mailing address
11325 BLACKBURN ST, LIVONIA, MI 48150-2853
(734) 292-1860
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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