Individual
CARA MARTHEA GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
650 ACADEMY DRIVE, NORTHBROOK, IL 60062
(847) 480-8890
Mailing address
2338 N. KIMBALL, #2, CHICAGO, IL 60647
(206) 353-4498
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT00004022
WA
225XP0200X
Pediatric Occupational Therapist
Primary
056.009760
IL
Other
Enumeration date
02/23/2007
Last updated
09/06/2012
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