Individual
DANIELLE ELIZABETH GROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
21219 W AVE, DALLAS CENTER, IA 50063-8195
(515) 249-0639
Mailing address
21219 W AVE, DALLAS CENTER, IA 50063-8195
(515) 249-0639
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
000991
IA
Other
Enumeration date
02/23/2022
Last updated
02/23/2022
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