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Contact Information

BROOKE N GRANDT
394 HEISLER CT
CRYSTAL LAKE, IL60014
 Phone: 801-318-3014
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for BROOKE N GRANDT · (Female)

NPI # 1558763581
Status Active
Credentials
Entity Individual
Enumeration date 09/22/2014
Last updated 10/10/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 056010458
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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