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General NPI Number Information
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NPI Number | 1518525757
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Entity Type | Individual
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Provider Name | TIARRA MCGRANDY OTRL
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Gender | Female
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Dates
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Enumeration Date | 06/03/2019
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 13137 N CLIO RD
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City | CLIO
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State | MI
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Zip | 48420-1028
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Country | US
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Telephone | 810-686-2600
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Fax |
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Provider Business Mailing Address
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Address Line | 7881 BUSCH RD
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City | BIRCH RUN
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State | MI
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Zip | 48415-8752
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 5201010493
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License Number State | MI
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