Individual
MRS. KATIE ROSE GRANDOWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
215 DUNBAR CAVE RD STE A, CLARKSVILLE, TN 37043-8850
(931) 542-2739
Mailing address
215 DUNBAR CAVE RD STE A, CLARKSVILLE, TN 37043-8850
(931) 542-2739
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
4829
TN
Other
Enumeration date
08/09/2013
Last updated
06/04/2014
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