Doctor Name: | MRS. SHEILA S GRUNEWALD |
NPI Number: | 1114961919 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OT, CHT |
License Number: | 004834 |
Business Practice Address: | 540 E Young Ave Suite E Warrensburg, MO - 640931200 |
Business Phone Number: | 6602624795 |
Business Fax Number: | 6607470347 |
Mailing Address: | 17134 Bel Ray Pl, BELTON |
State: | MO |
Postal Code: | 640125331 |
Phone Number: | 8162264011 |
Fax Number: | 8165246115 |
NPI Enumeration Date: | 06/15/2006 |
NPI Last Update Date: | 01/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225XH1200X |
License Number: | 004834 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Occupational Therapist |
Taxonomy Specialization: | Hand |
Taxonomy Definition: |