Individual
GRACE BRODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
150 N MILLER RD, BLDG. 150A, FAIRLAWN, OH 44333-3770
(330) 867-2240
(330) 867-2245
Mailing address
150 N MILLER RD, BLDG. 150A, FAIRLAWN, OH 44333-3770
(330) 867-2240
(330) 867-2245
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
COND 2015089
OH
235Z00000X
Speech-Language Pathologist
Primary
SP11870
OH
Other
Enumeration date
11/04/2014
Last updated
07/21/2016
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