Individual
NINA GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2940 W 87TH ST, CHICAGO, IL 60652-3832
(773) 434-8787
Mailing address
2940 W 87TH ST, CHICAGO, IL 60652-3832
(773) 434-8787
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056007209
IL
Other
Enumeration date
11/17/2011
Last updated
11/17/2011
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