Individual
MRS. LORETTA MARIE GRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
746 W GUADALUPE RD, GILBERT, AZ 85233-3200
(623) 242-6908
(623) 242-6909
Mailing address
14557 W INDIAN SCHOOL RD, GOODYEAR, AZ 85395-9243
(623) 242-6908
(623) 242-6909
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
103254
MN
225X00000X
Occupational Therapist
806
ND
225X00000X
Occupational Therapist
Primary
OTH-008761
AZ
Other
Enumeration date
07/03/2007
Last updated
01/08/2025
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