Individual
MISTY GRUDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
407 S TELEGRAPH RD, MONROE, MI 48161-1611
(734) 240-1950
(734) 240-1955
Mailing address
407 S TELEGRAPH RD, MONROE, MI 48161-1611
(734) 240-1950
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
520104346
MI
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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