MISS Gracie Agnes Grimes, COTA
NPI #1326739814 in Vancleave, Mississippi
Provider Information
- NPI Number
- 1326739814
- Entity Type
- Individual
- Name
- MISS Gracie Agnes Grimes, COTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA
- Enumeration Date
- May 16, 2023
- Last Updated
- May 16, 2023
Practice Location
- Address
- 5851 BELLE VALE DR
- City
- Vancleave
- State
- Mississippi
- ZIP Code
- 39565-7260
- Phone
- (228) 282-3691
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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