Individual
MS. SUZANN KAY GRIGSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
303 N HURSTBOURNE PKWY, SUITE 200, LOUISVILLE, KY 40222-5185
(502) 412-5847
Mailing address
PO BOX 320543, FLINT, MI 48532-0010
(502) 412-5847
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
224200000X
MI
Other
Enumeration date
10/08/2012
Last updated
10/08/2012
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