Kyle Grimm, C.O.T.A./L

NPI #1740580117 in Chiefland, Florida

Provider Information

NPI Number
1740580117
Entity Type
Individual
Name
Kyle Grimm, C.O.T.A./L
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapy Assistant
Credential
C.O.T.A./L
Enumeration Date
Nov 1, 2010
Last Updated
Nov 1, 2010

Practice Location

Address
220 N MAIN ST
Address 2
SUITE # 2
State
Florida
ZIP Code
32626-0802
Phone
(352) 490-7500

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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