Individual
NICHOLE N GRANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. OTR/L
Contact information
Practice address
9772 DIAGONAL RD, MANTUA, OH 44255-9128
(800) 233-8611
Mailing address
1006 WORTON PARK DR, MAYFIELD VILLAGE, OH 44143-3346
(440) 256-8983
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
007517
OH
Other
Enumeration date
02/03/2014
Last updated
02/03/2014
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