Individual
DANESSA PAULINE GRABILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
539 N 250 W, ANGOLA, IN 46703-7044
(260) 336-7620
Mailing address
539 N 250 W, ANGOLA, IN 46703-7044
(260) 336-7620
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202008684
MI
Other
Enumeration date
06/07/2024
Last updated
06/07/2024
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