Individual
NATHAN LUCAS GRIZENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTD, OTR/L
Contact information
Practice address
5700 BLAZER PKWY, DUBLIN, OH 43017-3665
(614) 962-8330
Mailing address
315 OLENTANGY ST, COLUMBUS, OH 43202-2342
(740) 274-2996
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT012597
OH
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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