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Individual

MS. ANGELA MARIE GRANTHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTRL, CHT

Contact information

Practice address
1201 E MICHIGAN AVE STE 320, JACKSON, MI 49201-1854
(517) 205-3897
(517) 205-7634
Mailing address
1201 E MICHIGAN AVE STE 320, JACKSON, MI 49201-1854
(517) 205-3897
(517) 817-7634

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201001150
MI

Other

Enumeration date
03/16/2018
Last updated
03/17/2025
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