Individual
REBECCA GRACE GRATTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
29 N ACADEMY ST, GREENVILLE, SC 29601-2629
(864) 331-1353
(864) 331-1446
Mailing address
29 N ACADEMY ST, GREENVILLE, SC 29601-2629
(864) 331-1353
(864) 331-1446
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3454
SC
225X00000X
Occupational Therapist
4114
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4254015
BLUE CROSS BLUE SHIELD OF TN
TN
01
—
CH4394
MEDICARE RAILROAD GROUP
TN
Enumeration date
09/22/2008
Last updated
01/13/2014
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