Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 5501019118 | MI |
NPI | 1003471335 |
---|---|
Provider Name | Dr. Katelyn E Grau |
First Address | Monroe, MI 48162-5304 |
Second Address | Monroe, MI 48162-5304 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2019 |
Last Update Date | 02/05/2019 |