Individual
HALEY GRIZZLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3004 W FAIDLEY AVE, GRAND ISLAND, NE 68803
(308) 398-5170
Mailing address
PO BOX 5285, GRAND ISLAND, NE 68802-5285
(308) 398-5170
(308) 382-0344
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2151
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/17/2017
Last updated
02/22/2019
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