Individual
STEPHANIE GRUNKLEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1601 PROFESSIONAL PKWY, AUBURN, AL 36830-1826
(256) 679-3666
Mailing address
106 KINLEY AVE, SANTA ROSA BEACH, FL 32459-6076
(806) 518-5703
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
19430
FL
225X00000X
Occupational Therapist
Primary
5389
AL
Other
Enumeration date
09/18/2018
Last updated
04/17/2021
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