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
ZIP Code
28365-1917
Phone
(919) 658-9522

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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