| NPI | 1164618310 |
|---|---|
| Former Name | SHANNON GRADY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 014473-1) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2022-01-20 |