MICHELLE GRODE

LAKE HAVASU CITY, AZ
NPI1063644581
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: SD  0784)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: AZ  4391)
225X00000X Occupational Therapist
(Licence: IL  056.008353)
Enumeration Date2009-08-17
Last Update Date2010-11-02
Business Address
-- MICHELLE GRODE MS, OTR/L
2200 HAVASUPAI BLVD
LAKE HAVASU CITY, AZ 86403-3122
Phone number: 605-366-8790
Mailing Address
-- MICHELLE GRODE MS, OTR/L
837 N COLUMBIA DR
SIOUX FALLS, SD 57103-6606
Phone number: 605-366-8790