Individual
HANNAH GRANDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
25012 104TH AVE SE STE C, KENT, WA 98030-2821
(253) 856-3477
(253) 856-3478
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
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
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