Mandisa Grable
Occupational Therapist in Grand Rapids, MI(View on Map)
Full Name
Mandisa Grable
NPI Number
1326530189
NPI Type
Individual Provider
Gender
Female
Enumeration Date
06/06/2018
Specialties
(Taxonomies)Licenses
State
Michigan
License Number
5201009091
Contact
Information
Purpose
Mailing
Location
Address
851 PENNIMAN AVE
3000 MONROE AVE NE
City
Plymouth
Grand Rapids
State
MI
MI
Postal Code
48170-1621
49505-3313
Country
US
US
Telephone Number
(248) 349-9595
(248) 349-9595
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/06/2018