Individual
GRACE BLAZEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
3100 100TH ST, URBANDALE, IA 50322-3869
(515) 207-9655
Mailing address
3100 100TH ST, URBANDALE, IA 50322-3869
(515) 207-9655
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
133335
IA
Other
Enumeration date
06/24/2025
Last updated
06/24/2025
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