Individual provider · Type 1 NPI

Johanna Grose, OT

Occupational Therapist · Antioch, TN

NPI number 1760036289 Active

Practice location

889 Bell Rd Ste A
Antioch, TN 37013-3101

Call (800) 381-2195 Map

Fax (888) 381-0822

Mailing address

4500 Satellite Blvd Ste 2250
Duluth, GA 30096-5047

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT6209 (TN)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1760036289

Johanna Grose, OT's National Provider Identifier is 1760036289, issued on Aug 1, 2019. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Antioch, TN. The record was last updated on Aug 1, 2019.