Johanna Grose, OT

NPI #1760036289 in Antioch, Tennessee

Provider Information

NPI Number: 1760036289
Entity Type: Individual
Name: Johanna Grose, OT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: Aug 1, 2019
Last Updated: Aug 1, 2019

Practice Location

Address: 889 BELL RD STE A
City: Antioch
State: Tennessee
ZIP Code: 37013-3101
Phone: (800) 381-2195

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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