Individual
MELINDA R GRANDAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2600 65TH AVENUE, OSCEOLA, WI 54020-4370
(715) 294-2111
(715) 294-5758
Mailing address
PO BOX 218, OSCEOLA, WI 54020-0218
(715) 294-2111
(715) 294-5758
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
100675
MN
225X00000X
Occupational Therapist
Primary
4827-26
WI
Other
Enumeration date
11/10/2006
Last updated
03/14/2011
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