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NPI Code Detail

MEDICARE: TIARRA MCGRANDY OTRL

MEDICARE: TIARRA MCGRANDY OTRL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist5201010493MI

General Provider Information

NPI Number : 1518525757
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIARRA MCGRANDY OTRL
Provider Business Mailing Address
First Line : 7881 BUSCH RD
Second Line :
City : BIRCH RUN
State : MI
Zip : 48415-8752
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 13137 N CLIO RD
Second Line :
City : CLIO
State : MI
Zip : 48420-1028
Country : US
Telephone Number : 810-686-2600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2019
Last Update Date : 10/08/2025

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Directions to “ TIARRA MCGRANDY OTRL” Practice Location

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