Grishaber, Samantha Nicole

Grishaber, Samantha Nicole is an individual health care provider with primary practice located at 111 Luther Rd Ste 6 , Dickson TN 37055-2112. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Grishaber, Samantha Nicole can be contacted via phone (615) 740-9782.

Contact Information

Primary practice address
111 Luther Rd Ste 6 Dickson TN 37055-2112
Phone: (615) 740-9782
Fax: (615) 740-8510
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT5453 Tennessee

Profile Details

NPI number 1639624109
LBN Legal business name Grishaber, Samantha Nicole
Credentials OTR/L, OTD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2016
Last updated Aug 12th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639624109 NPPES
Tennessee MEDICAID 0446631

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