NPI 1649084856

Mikaelah Grant

Practitioner Prosthetic/Orthotic Supplier Lanham, MD

Practice location

Address: 4500 Forbes Blvd STE 200-E21, Lanham, MD 20706-6312
Phone: (833) 421-2796
Mailing address: 712 H St NE STE 1509, Washington, DC 20002-3627

Registered specialties (2)

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

Other Prosthetic/Orthotic Supplier providers in Maryland →

Personal Care Attendant

Nursing Service Related Providers Taxonomy 3747P1801X

Other Technician providers in Maryland →

Registry record

NPI: 1649084856
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Feb 2025
Record last updated: 3 Jan 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.