Tara Grantham, OTR

NPI #1790807352 in Osage Beach, Missouri

Provider Information

NPI Number: 1790807352
Entity Type: Individual
Name: Tara Grantham, OTR
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR
Enumeration Date: Apr 4, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 54 HOSPITAL DR
City: Osage Beach
State: Missouri
ZIP Code: 65065-3050
Phone: (573) 302-2230

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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