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Individual
MRS. MARILEN MAMUYAC GRIMM
Active
Individual
MRS. MARILEN MAMUYAC GRIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 8425
CA
225XE1200X
Ergonomics Occupational Therapist
OT 8425
CA
225XH1200X
Hand Occupational Therapist
OT8425
CA
225XN1300X
Neurorehabilitation Occupational Therapist
OT 8425
CA
Other
Enumeration date
11/18/2006
Last updated
08/18/2010
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