Individual
ASHLEY GRAUVOGL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3405 CAMPBELL ST, VALPARAISO, IN 46385-2363
(219) 462-1023
Mailing address
1711 CEDAR ST, VALPARAISO, IN 46383-4303
(219) 689-1393
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
057003456
IL
224Z00000X
Occupational Therapy Assistant
Primary
32002051A
IN
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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