Individual
MIRANDA RAE GRIZAFFI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
908 W ARGYLE ST, CHICAGO, IL 60640-3806
(773) 271-0300
Mailing address
819 ALBEROSKY WAY, BATAVIA, IL 60510-2889
(630) 659-5352
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.015583
IL
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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