Individual provider · Type 1 NPI
Suzann Kay Grigsby, COTA
Pediatric Skilled Nursing Facility · Louisville, KY
Practice location
303 N Hurstbourne Pkwy, Suite 200
Louisville, KY 40222-5185
Mailing address
PO Box 320543
Flint, MI 48532-0010
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Skilled Nursing Facility Primary | 3140N1450X | 224200000X (MI) |
Pediatric Skilled Nursing Facility: A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.
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About NPI 1417209073
Suzann Kay Grigsby, COTA's National Provider Identifier is 1417209073, issued on Oct 8, 2012. The primary taxonomy on file is Pediatric Skilled Nursing Facility (3140N1450X), and the practice location is in Louisville, KY. The record was last updated on Oct 8, 2012.