Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 004834 | MO |
NPI | 1114961919 |
---|---|
Provider Name | Mrs. Sheila S Grunewald |
First Address | Warrensburg, MO 64093-7593 |
Second Address | Sedalia, MO 65301-2501 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2006 |
Last Update Date | 01/09/2016 |