MR. Henry Carrol Grady III, COTA/L
NPI #1306352810 in Mount Olive, North Carolina
Provider Information
- NPI Number
- 1306352810
- Entity Type
- Individual
- Name
- MR. Henry Carrol Grady III, COTA/L
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA/L
- Enumeration Date
- Dec 19, 2017
- Last Updated
- Dec 19, 2017
Practice Location
- Address
- 228 SMITH CHAPEL RD
- City
- Mount Olive
- State
- North Carolina
- ZIP Code
- 28365-1917
- Phone
- (919) 658-9522
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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