| NPI | 1790286722 |
|---|---|
| Former Name | LILLIAN R GRADY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: ID OTA-1871) |
| 224Z00000X Occupational Therapy Assistant (Licence: WA OC60822605) | |
| Enumeration Date | 2018-02-25 |
| Last Update Date | 2021-09-30 |