Individual
HANNAH GRANDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC018390
PA
225X00000X
Occupational Therapist
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OC018390
STATE LICENSURE
PA
Enumeration date
05/09/2022
Last updated
12/28/2023
Update your record
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