Individual
CASEY GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
14504 114TH AVE NE, KIRKLAND, WA 98034
(425) 394-6890
Mailing address
1089 TANLAND DR APT 101, PALO ALTO, CA 94303-3747
(845) 325-0401
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
14217
CA
225X00000X
Occupational Therapist
Primary
OT60499038
WA
Other
Enumeration date
04/09/2015
Last updated
09/25/2019
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