Individual
MATTHEW JON GRAEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
90 N MICHIGAN AVE, COLDWATER, MI 49036-1527
(517) 279-9808
Mailing address
15643 KATHERINE TRL, MARSHALL, MI 49068-9475
(269) 986-3990
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
5201006064
MI
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5201006064
BOARD OF OCCUPATIONAL THERAPISTS
MI
Enumeration date
04/11/2019
Last updated
06/22/2021
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